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General NPI Number Information
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NPI Number | 1922496322
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Entity Type | Organization
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Legal Business Name | ZWIENER CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 04/03/2015
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Provider Practice Location Address
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Address Line | 380 FESTUS CENTRE DR
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City | FESTUS
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State | MO
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Zip | 63028-2460
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Country | US
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Telephone | 636-543-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 380 FESTUS CENTRE DR
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City | FESTUS
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State | MO
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Zip | 63028-2460
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Country | US
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Telephone | 636-543-3433
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | MICHAEL ZWIENER
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Credential |
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Telephone | 314-277-0978
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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 | 2013013136
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License Number State | MO
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