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General NPI Number Information
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NPI Number | 1306053368
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Entity Type | Organization
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Legal Business Name | HOLISTIC CHIROPRACTIC ARTS CENTER
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 290 SPRINGFIELD DR SUITE 260
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2214
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Country | US
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Telephone | 630-894-0033
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Fax | 630-894-8678
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Provider Business Mailing Address
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Address Line | 290 SPRINGFIELD DR SUITE 260
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2214
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Country | US
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Telephone | 630-894-0033
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Fax | 630-894-8678
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JULIE A ZAKUTANSKY
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Credential | DC
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Telephone | 630-894-0033
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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 | 38-008395
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License Number State | IL
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