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General NPI Number Information
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NPI Number | 1083404412
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Entity Type | Organization
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Legal Business Name | RACHEL VITTARDI LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 954 W WASHINGTON BLVD STE 440
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City | CHICAGO
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State | IL
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Zip | 60607-2224
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Country | US
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Telephone | 440-537-7679
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Fax |
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Provider Business Mailing Address
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Address Line | 520 W HURON ST APT 515
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City | CHICAGO
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State | IL
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Zip | 60654-3439
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Country | US
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Telephone | 440-537-7679
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. RACHEL VITTARDI
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Credential | DC
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Telephone | 440-537-7679
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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 |
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