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General NPI Number Information
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NPI Number | 1871720193
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Entity Type | Individual
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Provider Name | BRYAN ALLEN DELONEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/12/2009
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 12977 N 40 DR STE 105
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8654
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Country | US
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Telephone | 636-590-4686
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Fax |
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Provider Business Mailing Address
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Address Line | 126 HILLTOWN VILLAGE CTR
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City | CHESTERFIELD
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State | MO
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Zip | 63017-0709
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Country | US
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Telephone | 314-226-4492
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2010009588
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License Number State | MO
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