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General NPI Number Information
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NPI Number | 1225470875
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Entity Type | Organization
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Legal Business Name | BORROWMAN CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 39702 252ND AVE
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City | PITTSFIELD
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State | IL
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Zip | 62363-2347
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Country | US
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Telephone | 217-370-2467
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Fax |
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Provider Business Mailing Address
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Address Line | 39702 252ND AVE
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City | PITTSFIELD
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State | IL
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Zip | 62363-2347
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Country | US
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Telephone | 217-370-2467
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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. JESSICA A BORROWMAN
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Credential | DC
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Telephone | 217-370-2467
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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 | 038012428
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License Number State | IL
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