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General NPI Number Information
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NPI Number | 1760760649
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Entity Type | Organization
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Legal Business Name | STEFANIE SANGER, LLC
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 07/27/2011
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Provider Practice Location Address
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Address Line | 7751 CARONDELET AVE SUITE 606
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City | CLAYTON
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State | MO
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Zip | 63105-3316
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Country | US
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Telephone | 314-726-4600
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Fax | 314-721-3992
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Provider Business Mailing Address
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Address Line | 7751 CARONDELET AVE SUITE 606
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City | CLAYTON
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State | MO
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Zip | 63105-3316
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Country | US
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Telephone | 314-726-4600
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Fax | 314-721-3992
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEFANIE ERIN SANGER
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Credential | DC, JD
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Telephone | 314-726-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2009000014
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License Number State | MO
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