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General NPI Number Information
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NPI Number | 1275930398
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Entity Type | Organization
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Legal Business Name | KATHERINEBENDIS LLC
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Dates
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Enumeration Date | 12/04/2014
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Last Update Date | 01/31/2015
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL RD STE 101
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2140
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Country | US
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Telephone | 630-220-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E ARMY TRAIL RD STE 101
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2140
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Country | US
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Telephone | 630-220-1031
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. KATHEIRNE BENDIS
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Credential | DC
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Telephone | 630-529-2225
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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 | 038011873
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License Number State | IL
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