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General NPI Number Information
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NPI Number | 1386718559
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Entity Type | Individual
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Provider Name | DONALD L MERTES DC
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 2811 S FAIRFIELD AVE SUITE E
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City | LOMBARD
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State | IL
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Zip | 60148-1359
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Country | US
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Telephone | 630-537-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 S LORRAINE RD APT A
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City | WHEATON
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State | IL
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Zip | 60189-7076
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Country | US
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Telephone | 630-440-3392
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Fax |
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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 | 038009169
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License Number State | IL
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