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General NPI Number Information
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NPI Number | 1184893885
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Entity Type | Organization
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Legal Business Name | PIRIE CHIROPRACTIC CENTER, LTD
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1011 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2869
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Country | US
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Telephone | 815-725-8345
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Fax | 815-725-8310
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Provider Business Mailing Address
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Address Line | 1011 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2869
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Country | US
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Telephone | 815-725-8345
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Fax | 815-725-8310
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANTHONY M PIRIE
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Credential | D.C.
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Telephone | 815-725-8345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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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 | 038009041
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License Number State | IL
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