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General NPI Number Information
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NPI Number | 1336510601
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Entity Type | Organization
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Legal Business Name | SANTOS NATURAL HEALTH CENTER,LTD
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 6905 CERMAK RD STE B
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City | BERWYN
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State | IL
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Zip | 60402-2175
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Country | US
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Telephone | 708-317-4240
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Fax | 844-273-9797
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Provider Business Mailing Address
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Address Line | 6905 CERMAK RD STE B
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City | BERWYN
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State | IL
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Zip | 60402-2175
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Country | US
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Telephone | 708-317-4240
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Fax | 844-273-9797
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KHALAF H KHALIFEH
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Credential | D.C.
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Telephone | 708-691-7406
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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 | 038.012693
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License Number State | IL
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