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General NPI Number Information
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NPI Number | 1528188109
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Entity Type | Organization
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Legal Business Name | LANDIN CHIROPRACTIC CARE, PC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 2010 LARKIN AVE
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City | ELGIN
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State | IL
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Zip | 60123-5845
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Country | US
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Telephone | 224-856-5617
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Fax | 224-856-5619
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Provider Business Mailing Address
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Address Line | 2010 LARKIN AVE
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City | ELGIN
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State | IL
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Zip | 60123-5845
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Country | US
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Telephone | 847-648-0223
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANA BRUCE LANDIN
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Credential | DC
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Telephone | 847-648-0223
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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 | 038009723
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License Number State | IL
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