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General NPI Number Information
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NPI Number | 1306287271
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Entity Type | Organization
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Legal Business Name | BALANCED ADJUSTMENTS LTD
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 1429 W CHICAGO AVE 3
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City | CHICAGO
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State | IL
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Zip | 60642-5231
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Country | US
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Telephone | 386-473-1362
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 220832
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City | CHICAGO
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State | IL
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Zip | 60622-0030
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Country | US
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Telephone | 386-473-1362
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/AGENT
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Name | DR. PATRICK ELEY
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Credential | DC
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Telephone | 386-473-1362
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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 | 038.012270
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License Number State | IL
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