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General NPI Number Information
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NPI Number | 1164832762
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Entity Type | Organization
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Legal Business Name | THE ADJUSTMENT BUREAU PC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 322 W SCHWARTZ ST
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City | SALEM
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State | IL
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Zip | 62881-1550
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Country | US
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Telephone | 618-548-1136
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Fax |
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Provider Business Mailing Address
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Address Line | 322 W SCHWARTZ ST
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City | SALEM
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State | IL
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Zip | 62881-1550
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Country | US
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Telephone | 618-548-1136
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Fax |
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Authorized Official
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Title or Position | CEO/CHIROPRACTOR
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Name | DR. RICHARD DANIEL SMITH
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Credential | M.S.,D.C.
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Telephone | 618-322-5219
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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 | 038011452
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License Number State | IL
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