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General NPI Number Information
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NPI Number | 1235670548
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Entity Type | Organization
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Legal Business Name | SMART SPINE AND REHAB LTD
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 730 W NORTHWEST HWY
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City | BARRINGTON
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State | IL
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Zip | 60010-2640
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Country | US
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Telephone | 847-416-6173
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Fax | 847-304-4417
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Provider Business Mailing Address
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Address Line | 730 W NORTHWEST HWY
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City | BARRINGTON
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State | IL
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Zip | 60010-2640
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Country | US
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Telephone | 847-416-6173
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Fax | 847-304-4417
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. JULIA FELDMAN CHERNER
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Credential | DC
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Telephone | 847-416-6173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 038012904
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License Number State | IL
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