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General NPI Number Information
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NPI Number | 1396986105
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Entity Type | Individual
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Provider Name | GINA M. MOSKALIK D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2009
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 716 LAUREL LN
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City | CARY
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State | IL
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Zip | 60013-3205
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Country | US
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Telephone | 847-658-6066
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Fax | 866-837-6099
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | CARY
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State | IL
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Zip | 60013-0453
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Country | US
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Telephone | 847-658-6066
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Fax | 866-837-6099
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 038011326
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 038011326
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.011326
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License Number State | IL
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