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General NPI Number Information
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NPI Number | 1205213691
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Entity Type | Organization
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Legal Business Name | ONE HEALTH CHIROPRACTIC, LTD
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 21000 S FRANKFORT SQUARE RD UNIT B
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City | FRANKFORT
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State | IL
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Zip | 60423-9385
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Country | US
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Telephone | 402-677-4165
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Fax |
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Provider Business Mailing Address
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Address Line | 21000 S FRANKFORT SQUARE RD UNIT B
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City | FRANKFORT
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State | IL
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Zip | 60423-9385
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Country | US
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Telephone | 402-677-4165
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER JOHN SCHUMANN
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Credential | D.C.
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Telephone | 402-677-4165
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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 | 038012724
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License Number State | IL
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