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General NPI Number Information
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NPI Number | 1447612510
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Entity Type | Individual
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Provider Name | ALANNA LYNN MCNELLY DC
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Gender | Female
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Dates
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Enumeration Date | 03/28/2016
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 219 PIASA ST SUITE 200
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City | ALTON
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State | IL
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Zip | 62002
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Country | US
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Telephone | 314-398-4863
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Fax |
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Provider Business Mailing Address
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Address Line | 17107 MEADOW BRANCH RD
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City | GRAFTON
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State | IL
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Zip | 62037
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Country | US
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Telephone | 314-398-4863
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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 | 038.012788
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License Number State | IL
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