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General NPI Number Information
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NPI Number | 1275726549
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Entity Type | Individual
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Provider Name | ALFRED F LARCHER JR. DC
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Gender | Male
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 12/23/2008
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Provider Practice Location Address
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Address Line | 7039 W. ADDISON ST.
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City | CHICAGO
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State | IL
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Zip | 60651
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Country | US
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Telephone | 773-921-5800
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Fax | 773-921-6111
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Provider Business Mailing Address
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Address Line | 7039 W. ADDISON
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City | CHGO
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State | IL
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Zip | 60634
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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 |
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Name |
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Credential |
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Telephone |
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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 | 038003392
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License Number State | IL
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