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NPI 1093241101

NPI 1093241101 : HELENA ANNA PARA DACM : ORLAND PARK, IL

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General NPI Number Information
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    NPI Number           |    1093241101
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    Entity Type          |    Individual 
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    Provider Name        |    HELENA ANNA PARA DACM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/10/2017
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    Last Update Date     |    05/10/2017
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Provider Practice Location Address
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    Address Line         |    10763 WINTERSET DR 
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    City                 |    ORLAND PARK
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    State                |    IL
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    Zip                  |    60467-1106
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    Country              |    US
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    Telephone            |    708-403-7788
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8052 W 82ND ST B
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    City                 |    JUSTICE
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    State                |    IL
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    Zip                  |    60458-1697
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    Country              |    US
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    Telephone            |    708-698-0323
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    Fax                  |    
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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        |    171100000X
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    Taxonomy Name        |    Acupuncturist
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    License Number       |    198.001362
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    License Number State |    IL
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