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General NPI Number Information
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NPI Number | 1851419493
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Entity Type | Organization
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Legal Business Name | MEDICAL ALTERNATIVES CORP
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/07/2017
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Provider Practice Location Address
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Address Line | 2201 S BRENTWOOD BLVD SUITE 103
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City | BRENTWOOD
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State | MO
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Zip | 63144-1847
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Country | US
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Telephone | 314-667-8864
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Fax | 314-717-0010
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Provider Business Mailing Address
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Address Line | 2201 S BRENTWOOD BLVD SUITE 103
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City | BRENTWOOD
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State | MO
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Zip | 63144-1847
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Country | US
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Telephone | 314-667-8864
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Fax | 314-717-0010
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Authorized Official
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Title or Position | OWNER
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Name | DR. STEVEN LEE VANDEN HOEK
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Credential | D.C.
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Telephone | 314-667-8864
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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 | 038010163
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License Number State | IL
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