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General NPI Number Information
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NPI Number | 1134172166
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Entity Type | Individual
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Provider Name | GABRIEL JOHN JAVUREK DC
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 1800 LOGAN AVE
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City | BELVIDERE
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State | IL
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Zip | 61008
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Country | US
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Telephone | 815-544-9298
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Fax | 815-547-3416
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Provider Business Mailing Address
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Address Line | 1800 LOGAN AVE
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City | BELVIDERE
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State | IL
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Zip | 61008
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Country | US
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Telephone | 815-544-9298
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Fax | 815-547-3416
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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 | 08002163A
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License Number State | IN
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Taxonomy #2
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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 | IL
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