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General NPI Number Information
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NPI Number | 1215324744
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 230 E OGDEN AVE 1ST FLOOR, SUITE B
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City | HINSDALE
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State | IL
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Zip | 60521-2460
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Country | US
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Telephone | 630-537-0758
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Fax | 630-708-7561
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Provider Business Mailing Address
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Address Line | 230 E OGDEN AVE 1ST FLOOR, SUITE B
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City | HINSDALE
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State | IL
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Zip | 60521-2460
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Country | US
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Telephone | 630-537-0758
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Fax | 630-708-7561
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Authorized Official
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Title or Position | CHIROPRACTIC INTERNIST/OWNER
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Name | DR. CARA DENAE VANWORMER
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Credential | D.C., D.A.B.C.I.
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Telephone | 630-537-0758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage 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 | 111NI0900X
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Taxonomy Name | Internist Chiropractor
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License Number | 038011318
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License Number State | IL
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