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General NPI Number Information
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NPI Number | 1467610691
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Entity Type | Individual
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Provider Name | FRANK GEORGE ANTONINO DC
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Gender | Male
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 200 E CHICAGO AVE SUITE 102
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City | WESTMONT
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State | IL
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Zip | 60559-1746
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Country | US
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Telephone | 630-920-8203
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Fax | 630-920-8237
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Provider Business Mailing Address
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Address Line | 200 E CHICAGO AVE SUITE 102
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City | WESTMONT
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State | IL
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Zip | 60559-1746
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Country | US
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Telephone | 630-920-8203
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Fax | 630-920-8237
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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 | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 038.004840
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License Number State | IL
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