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General NPI Number Information
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NPI Number | 1215398367
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Entity Type | Organization
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Legal Business Name | ALP WELLNESS INC
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Dates
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Enumeration Date | 03/17/2016
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 4700 N UNIVERSITY ST SPC 65
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City | PEORIA
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State | IL
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Zip | 61614-5849
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Country | US
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Telephone | 309-689-6200
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Fax | 309-689-6219
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Provider Business Mailing Address
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Address Line | 4700 N UNIVERSITY ST SPC 65
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City | PEORIA
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State | IL
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Zip | 61614-5849
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Country | US
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Telephone | 309-689-6200
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Fax | 309-689-6219
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREA K FORGET-SCHNOWSKE
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Credential | DC
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Telephone | 309-832-4532
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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 | 038012085
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License Number State | IL
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