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General NPI Number Information
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NPI Number | 1508330416
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Entity Type | Individual
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Provider Name | LAUREN ELIZABETH BIESTEK DC
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Gender | Female
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Dates
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Enumeration Date | 01/14/2019
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2114 W ALGONQUIN RD
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City | LAKE IN THE HILLS
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State | IL
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Zip | 60156-1370
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Country | US
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Telephone | 847-305-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 4869 ARGYLE LN
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City | MCHENRY
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State | IL
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Zip | 60050-6606
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Country | US
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Telephone | 847-204-0959
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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 | 038.013475
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License Number State | IL
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