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General NPI Number Information
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NPI Number | 1316911852
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Entity Type | Individual
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Provider Name | TODD H BABCOCK D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 115 S 2ND ST
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City | GIRARD
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State | IL
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Zip | 62640-1608
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Country | US
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Telephone | 217-627-4144
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Fax | 217-627-4139
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Provider Business Mailing Address
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Address Line | 115 S 2ND ST
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City | GIRARD
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State | IL
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Zip | 62640-1608
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Country | US
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Telephone | 217-627-4144
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Fax | 217-627-4139
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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 | A05480
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-006470
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License Number State | IL
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