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General NPI Number Information
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NPI Number | 1942661814
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Entity Type | Organization
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Legal Business Name | DSK WORKS LLC
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/18/2016
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Provider Practice Location Address
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Address Line | 3193 LEMAY FERRY RD.
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City | SAINT LOUIS
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State | MO
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Zip | 63125
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Country | US
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Telephone | 314-620-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 4950 CHAPEL HILL RD.
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City | SAINT LOUIS
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State | MO
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Zip | 63128
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONALD KREIDLER
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Credential | DC
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Telephone | 314-620-8091
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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 | CE005517
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State | MO
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