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General NPI Number Information
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NPI Number | 1801001060
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Entity Type | Organization
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Legal Business Name | BUCHHEIT CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 10/16/2007
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Provider Practice Location Address
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Address Line | 707 N MAIN ST
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City | PERRYVILLE
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State | MO
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Zip | 63775-1303
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Country | US
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Telephone | 573-517-0696
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Fax | 573-517-0844
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Provider Business Mailing Address
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Address Line | PO BOX 331
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City | PERRYVILLE
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State | MO
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Zip | 63775-0331
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Country | US
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Telephone | 573-517-0696
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Fax | 573-517-0844
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. DARYL RAY BUCHHEIT
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Credential |
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Telephone | 573-517-0696
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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 | 006562
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License Number State | MO
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