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General NPI Number Information
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NPI Number | 1225556657
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Entity Type | Individual
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Provider Name | JOHN THOMAS BROZOVICH DC
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Gender | Male
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 606 SW 3RD ST
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City | ALEDO
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State | IL
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Zip | 61231-1808
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Country | US
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Telephone | 309-628-0303
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Fax | 309-628-0304
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Provider Business Mailing Address
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Address Line | 606 SW 3RD ST
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City | ALEDO
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State | IL
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Zip | 61231-1808
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Country | US
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Telephone | 309-628-0303
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Fax | 309-628-0304
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 038.013704
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1273
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License Number State | MS
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