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General NPI Number Information
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NPI Number | 1558749341
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Entity Type | Organization
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Legal Business Name | WORLD TREE NATURAL MEDICINE
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Dates
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Enumeration Date | 05/12/2015
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 17W703 BUTTERFIELD RD STE F
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4280
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Country | US
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Telephone | 630-359-5522
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Fax |
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Provider Business Mailing Address
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Address Line | 17W703 BUTTERFIELD RD STE F
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4280
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Country | US
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Telephone | 630-359-5522
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KRISTINA CONNER
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Credential |
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Telephone | 630-359-5522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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