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General NPI Number Information
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NPI Number | 1396422580
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Entity Type | Individual
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Provider Name | TAYLOR HERSHEY DC
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1221 N LA SALLE DR UNIT 2W
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City | CHICAGO
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State | IL
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Zip | 60610-2945
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Country | US
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Telephone | 312-900-2640
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 N LASALLE DR UNIT 2W
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City | CHICAGO
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State | IL
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Zip | 60610
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Country | US
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Telephone | 312-900-2640
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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 | 038.014011
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License Number State | IL
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