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General NPI Number Information
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NPI Number | 1124463617
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Entity Type | Individual
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Provider Name | CALEB ANTHONY DURENBERGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 05/09/2013
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Provider Practice Location Address
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Address Line | 18 W FIRST ST
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City | HINSDALE
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State | IL
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Zip | 60521-4173
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Country | US
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Telephone | 612-965-8892
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Fax |
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Provider Business Mailing Address
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Address Line | 910 CURTISS ST 9
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4754
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Country | US
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Telephone | 612-965-8892
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012418
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License Number State | IL
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