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General NPI Number Information
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NPI Number | 1124545868
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Entity Type | Organization
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Legal Business Name | DR. KATIE MAIER DC, LTD
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 662 N CONVENT ST
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1332
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Country | US
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Telephone | 815-937-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 662 N CONVENT ST
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City | BOURBONNAIS
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State | IL
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Zip | 60914-1332
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Country | US
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Telephone | 815-937-0446
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATIE MAIER
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Credential | DC
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Telephone | 815-954-4351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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