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General NPI Number Information
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NPI Number | 1194292540
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Entity Type | Organization
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Legal Business Name | FLEMING CHIROPRACTIC & ACUPUNCTURE LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 202 S MAIN ST
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City | LACON
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State | IL
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Zip | 61540-1416
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Country | US
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Telephone | 309-645-9517
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 106
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City | LACON
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State | IL
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Zip | 61540-0106
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Country | US
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Telephone | 309-645-9517
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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. DALE ROBERT FLEMING
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Credential | DC
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Telephone | 309-645-9517
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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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