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General NPI Number Information
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NPI Number | 1982012555
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Entity Type | Organization
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Legal Business Name | LAURA MCATEER DC LLC
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 7287 WATSONS PARISH DR
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City | O FALLON
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State | MO
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Zip | 63368-8151
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Country | US
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Telephone | 314-283-9652
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Fax |
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Provider Business Mailing Address
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Address Line | 7287 WATSONS PARISH
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City | OFALLON
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State | MO
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Zip | 63368-7589
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Country | US
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Telephone | 314-283-9652
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | LAURA ANNE MCATEER
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Credential | DC
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Telephone | 314-283-9652
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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 | 2014025391
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License Number State | MO
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