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General NPI Number Information
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NPI Number | 1043207673
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Entity Type | Individual
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Provider Name | CHRISTOPHER GENE DINNING D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 01/26/2018
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Provider Practice Location Address
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Address Line | 704 S EAST ST
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City | MOUNT CARROLL
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State | IL
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Zip | 61053-1460
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Country | US
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Telephone | 815-244-7746
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Fax | 815-244-2011
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Provider Business Mailing Address
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Address Line | 704 S EAST ST
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City | MOUNT CARROLL
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State | IL
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Zip | 61053-1460
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Country | US
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Telephone | 815-244-7746
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Fax | 815-244-2011
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 06771
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-010157
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License Number State | IL
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