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General NPI Number Information
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NPI Number | 1447043633
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Entity Type | Organization
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Legal Business Name | CHIRO ONE WELLNESS CENTER OF RIDGEFIELD PLLC
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 4318 S SETTLER DR STE 100
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City | RIDGEFIELD
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State | WA
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Zip | 98642-4531
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Country | US
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Telephone | 630-468-1824
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Fax |
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Provider Business Mailing Address
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Address Line | 2625 BUTTERFIELD RD STE 301N
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City | OAK BROOK
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State | IL
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Zip | 60523-1266
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Country | US
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Telephone | 630-468-1824
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Fax |
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Authorized Official
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Title or Position | DC
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Name | SYLVIA KIM
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Credential |
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Telephone | 847-971-2447
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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 |
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License Number State |
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