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General NPI Number Information
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NPI Number | 1538364849
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Entity Type | Organization
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Legal Business Name | KESSLER CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 105 S 5TH ST
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City | AUBURN
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State | IL
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Zip | 62615-1401
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Country | US
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Telephone | 217-438-6917
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Fax | 217-438-9912
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Provider Business Mailing Address
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Address Line | 105 S 5TH ST
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City | AUBURN
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State | IL
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Zip | 62615-1401
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Country | US
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Telephone | 217-438-6917
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Fax | 217-438-9912
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM J. KESSLER
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Credential | D.C.
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Telephone | 217-438-6917
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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 | 38-2674
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License Number State | IL
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