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General NPI Number Information
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NPI Number | 1568559474
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Entity Type | Individual
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Provider Name | WILLIAM P. MARKOVICH DC
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 105 S CHICAGO ST
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City | GENESEO
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State | IL
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Zip | 61254-1478
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Country | US
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Telephone | 309-944-8804
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Fax |
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Provider Business Mailing Address
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Address Line | 2237 PARKWAY DR
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City | BETTENDORF
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State | IA
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Zip | 52722-3007
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Country | US
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Telephone | 563-355-8894
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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 |
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License Number State | IL
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