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General NPI Number Information
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NPI Number | 1225601842
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Entity Type | Organization
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Legal Business Name | SPINAL HEALTH CENTER LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 650 SPRING HILL RING RD STE 2005
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City | WEST DUNDEE
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State | IL
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Zip | 60118-1297
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Country | US
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Telephone | 815-708-3898
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Fax |
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Provider Business Mailing Address
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Address Line | 650 SPRING HILL RING RD STE 2005
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City | WEST DUNDEE
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State | IL
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Zip | 60118-1297
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Country | US
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Telephone | 815-708-3898
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. CRAIG A STEAR JR.
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Credential | DC
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Telephone | 815-708-3898
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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 |
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License Number State |
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