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General NPI Number Information
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NPI Number | 1386822435
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Entity Type | Individual
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Provider Name | CHRISTINE TING-FU PAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 111 N WABASH AVE STE 1414
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City | CHICAGO
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State | IL
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Zip | 60602-3070
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Country | US
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Telephone | 312-634-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N WABASH AVE STE 1414
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City | CHICAGO
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State | IL
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Zip | 60602-3070
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Country | US
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Telephone | 773-840-2556
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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 | 038.011095
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License Number State | IL
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