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General NPI Number Information
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NPI Number | 1073863247
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Entity Type | Individual
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Provider Name | MICHEAL JOHN FABER D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 14277 S. WOLD RD.
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City | ORLAND PARK
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State | IL
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Zip | 60467-1932
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Country | US
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Telephone | 708-403-3252
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Fax | 708-430-3251
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Provider Business Mailing Address
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Address Line | 14277 WOLF RD
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City | ORLAND PARK
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State | IL
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Zip | 60467-1932
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Country | US
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Telephone | 708-403-3252
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Fax | 708-403-3251
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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 | 038.005556
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License Number State | IL
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