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General NPI Number Information
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NPI Number | 1841180825
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Entity Type | Organization
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Legal Business Name | WEST CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 330 N CREEK DRIVE
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City | FESTUS
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State | MO
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Zip | 63028
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Country | US
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Telephone | 314-620-7559
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Fax |
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Provider Business Mailing Address
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Address Line | 2742 ADOBE DR
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City | IMPERIAL
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State | MO
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Zip | 63052-1392
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Country | US
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Telephone | 314-620-7559
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | JENNA WEST
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Credential | DC
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Telephone | 314-620-7559
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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 |
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License Number State |
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