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General NPI Number Information
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NPI Number | 1922316454
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Entity Type | Organization
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Legal Business Name | KARE CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 09/17/2010
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Provider Practice Location Address
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Address Line | 3899 MID RIVERS MALL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-2870
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Country | US
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Telephone | 636-936-3613
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Fax | 636-936-8069
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Provider Business Mailing Address
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Address Line | 3899 MID RIVERS MALL DR
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City | SAINT PETERS
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State | MO
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Zip | 63376-2870
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Country | US
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Telephone | 636-936-3613
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Fax | 636-936-8069
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. PAM A MAKAREWICZ
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Credential |
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Telephone | 636-352-9406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 006217
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License Number State | MO
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