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General NPI Number Information
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NPI Number | 1417939489
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Entity Type | Organization
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Legal Business Name | LAPP CHIROPRACTIC P C
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 400 LAKE COOK RD 100A
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City | DEERFIELD
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State | IL
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Zip | 60015-5607
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Country | US
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Telephone | 847-945-8255
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Fax | 847-945-8403
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Provider Business Mailing Address
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Address Line | 400 LAKE COOK RD 100A
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City | DEERFIELD
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State | IL
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Zip | 60015-5607
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Country | US
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Telephone | 847-945-8255
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Fax | 847-945-8403
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Authorized Official
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Title or Position | DC PRESIDENT
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Name | DR. JEANNE MARIE LAPP
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Credential | DC
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Telephone | 847-945-8255
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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 | 038006026
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License Number State | IL
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