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General NPI Number Information
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NPI Number | 1922492446
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Entity Type | Organization
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Legal Business Name | VANESSA K. KING DC, PC
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 2705 SAINT PETERS HOWELL RD STE H
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City | SAINT PETERS
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State | MO
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Zip | 63376-2821
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Country | US
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Telephone | 844-544-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 2705 ST.PETERS HOWELL RD. STE. H
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City | ST. PETERS
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State | MO
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Zip | 63376-0454
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Country | US
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Telephone | 844-544-5437
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VANESSA KING
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Credential |
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Telephone | 844-544-5437
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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 | 2014027312
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License Number State | MO
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