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General NPI Number Information
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NPI Number | 1235592528
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Entity Type | Organization
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Legal Business Name | WHOLE HUMAN HEALTH
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 04/04/2016
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Provider Practice Location Address
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Address Line | 426 S 3RD ST
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City | GENEVA
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State | IL
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Zip | 60134-2708
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Country | US
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Telephone | 630-487-1810
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 W WILSON ST STEA304
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City | BATAVIA
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State | IL
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Zip | 60510-3194
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID HOPPER
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Credential | D.C.
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Telephone | 630-487-1810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 038012821
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License Number State | IL
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