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NPI 1952453771

NPI 1952453771 : ERIC A NEPUTE DC LLC : SAINT LOUIS, MO

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General NPI Number Information
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    NPI Number           |    1952453771
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERIC A NEPUTE DC LLC 
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Dates
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    Enumeration Date     |    01/18/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    608 N MCKNIGHT RD 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63132-4911
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    Country              |    US
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    Telephone            |    314-991-5655
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    Fax                  |    314-991-4872
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Provider Business Mailing Address
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    Address Line         |    1057 CHARLEVILLE AVE 
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    City                 |    SAINT LOUIS
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    State                |    MO
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    Zip                  |    63119-1128
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    Country              |    US
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    Telephone            |    314-650-0422
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DR.
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    Name                 |    DR. ERIC ANTHONY NEPUTE 
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    Credential           |    D.C.
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    Telephone            |    314-650-0422
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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       |    
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    License Number State |    MO
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