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General NPI Number Information
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NPI Number | 1205571262
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Entity Type | Organization
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Legal Business Name | REGENERATIVE HEALTH AND CHIROPRACTIC, LTD
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 2013 JOHNSON RD STE D
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City | GRANITE CITY
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State | IL
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Zip | 62040-3980
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Country | US
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Telephone | 618-931-2050
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Fax | 618-931-2048
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Provider Business Mailing Address
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Address Line | 2013 JOHNSON RD STE D
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City | GRANITE CITY
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State | IL
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Zip | 62040-3980
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Country | US
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Telephone | 618-931-2050
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Fax | 618-931-2048
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA DARIN
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Credential | DC
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Telephone | 618-444-9531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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