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General NPI Number Information
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NPI Number | 1366560666
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Entity Type | Organization
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Legal Business Name | SARAH KEUSS, P.C.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 6818 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4645
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Country | US
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Telephone | 773-282-4529
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Fax |
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Provider Business Mailing Address
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Address Line | 6818 W BELMONT AVE
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City | CHICAGO
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State | IL
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Zip | 60634-4645
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Country | US
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Telephone | 773-282-4529
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAH ALEENE KEUSS
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Credential | D.C.
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Telephone | 773-282-4529
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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 | 038010420
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License Number State | IL
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