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General NPI Number Information
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NPI Number | 1093734881
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Entity Type | Individual
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Provider Name | ANNA JURIK D.C., R.D., L.D.N.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 120 E OGDEN AVE SUITE #202
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City | HINSDALE
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State | IL
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Zip | 60521-3542
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Country | US
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Telephone | 630-655-9480
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Fax | 630-655-9490
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Provider Business Mailing Address
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Address Line | 120 E OGDEN AVE SUITE #202
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City | HINSDALE
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State | IL
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Zip | 60521-3542
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Country | US
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Telephone | 630-655-9480
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Fax | 630-655-9490
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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 | 038010439
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 164003250
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License Number State | IL
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