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General NPI Number Information
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NPI Number | 1467761858
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Entity Type | Organization
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Legal Business Name | HANS CHIROPRACTIC LTD
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Dates
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Enumeration Date | 10/01/2010
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 750 FLETCHER DR STE 304
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City | ELGIN
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State | IL
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Zip | 60123-4756
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Country | US
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Telephone | 847-888-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 1286 ROBERTA CT
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City | GLENDALE HTS
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State | IL
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Zip | 60139-3657
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTIC
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Name | RYAN MANHYUCK HAN
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Credential | D.C
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Telephone | 630-550-9591
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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 | 038011772
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License Number State | IL
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