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General NPI Number Information
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NPI Number | 1245398809
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Entity Type | Organization
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Legal Business Name | JAMES P NOONAN DC SC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 14340 S LA GRANGE RD
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City | ORLAND PARK
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State | IL
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Zip | 60462
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Country | US
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Telephone | 708-349-4580
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Fax | 708-349-4052
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Provider Business Mailing Address
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Address Line | 14340 S LA GRANGE RD SUITE 106
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City | ORLAND PARK
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State | IL
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Zip | 60462-2517
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Country | US
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Telephone | 708-349-4580
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Fax | 708-349-4052
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES P NOONAN
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Credential | DC
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Telephone | 708-349-4580
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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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