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General NPI Number Information
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NPI Number | 1225732977
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Entity Type | Organization
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Legal Business Name | STONITSCH HEALTH AND BODY WELLNESS
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 03/28/2023
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Provider Practice Location Address
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Address Line | 808 W ROUTE 30
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City | ROCK FALLS
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State | IL
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Zip | 61071-2766
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Country | US
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Telephone | 815-626-1887
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Fax | 815-626-9602
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Provider Business Mailing Address
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Address Line | 3502 PROPHET RD
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City | ROCK FALLS
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State | IL
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Zip | 61071-2446
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Country | US
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Telephone | 815-441-7274
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Fax | 815-626-9602
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN MARIE STONITSCH
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Credential | DC
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Telephone | 815-626-1887
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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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