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General NPI Number Information
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NPI Number | 1134324379
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Entity Type | Individual
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Provider Name | SONIA V JOUBERT CHIROPRACTIC PHYSICI
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Gender | Female
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 707 W JEFFERSON ST SUITE F
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City | SHOREWOOD
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State | IL
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Zip | 60404
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Country | US
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Telephone | 815-725-8200
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Fax | 815-730-8576
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Provider Business Mailing Address
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Address Line | 624 BERKLEY DRIVE
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City | ROMEOVILLE
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State | IL
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Zip | 60446
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Country | US
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Telephone | 708-692-9091
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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 |
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License Number State | IL
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