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General NPI Number Information
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NPI Number | 1407983992
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Entity Type | Individual
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Provider Name | ROBIN W KAWECKI D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 03/14/2013
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Provider Practice Location Address
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Address Line | 2307 LAPORTE AVE SUITE 4
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City | VALPARAISO
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State | IN
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Zip | 46383-6996
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Country | US
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Telephone | 219-902-6955
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Fax | 219-228-8442
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Provider Business Mailing Address
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Address Line | 7230 OLCOTT AVE NONESUCH HOUSE
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City | HAMMOND
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State | IN
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Zip | 46323-2044
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Country | US
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Telephone | 219-902-6955
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Fax | 219-228-8442
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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 | 08001253A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038007667
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License Number State | IL
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