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NPI 1053409839

NPI 1053409839 : ANTHONY R GALANTE DC : ALGONQUIN, IL

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General NPI Number Information
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    NPI Number           |    1053409839
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY R GALANTE DC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/10/2006
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    Last Update Date     |    12/03/2015
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Provider Practice Location Address
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    Address Line         |    2210 HUNTINGTON DR N 
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    City                 |    ALGONQUIN
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    State                |    IL
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    Zip                  |    60102-4419
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    Country              |    US
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    Telephone            |    847-854-2000
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    Fax                  |    847-854-2009
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Provider Business Mailing Address
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    Address Line         |    2210 HUNTINGTON DR N 
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    City                 |    ALGONQUIN
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    State                |    IL
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    Zip                  |    60102-4419
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    Country              |    US
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    Telephone            |    847-854-2000
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    Fax                  |    847-854-2009
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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       |    038007020
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    License Number State |    IL
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