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General NPI Number Information
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NPI Number | 1255796009
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Entity Type | Organization
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Legal Business Name | THE FIX REHAB AND WELLNESS
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Dates
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Enumeration Date | 12/21/2015
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 955 W MONROE ST UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60607-2811
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Country | US
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Telephone | 312-433-2222
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Fax | 312-803-1837
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Provider Business Mailing Address
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Address Line | 955 W MONROE ST UNIT 2
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City | CHICAGO
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State | IL
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Zip | 60607-2811
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Country | US
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Telephone | 312-433-2222
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Fax | 312-803-1837
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FAYAZ ATHER
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Credential | D.C.
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Telephone | 312-433-2222
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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 | 038011890
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License Number State | IL
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