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General NPI Number Information
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NPI Number | 1568770444
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Entity Type | Organization
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Legal Business Name | SYMMETRY CHIROPRACTIC & ACUPUNCTURE LTD
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 07/29/2021
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Provider Practice Location Address
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Address Line | 3108 S ROUTE 59 STE 124
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City | NAPERVILLE
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State | IL
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Zip | 60564-7804
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Country | US
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Telephone | 630-983-1805
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Fax | 630-983-1845
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Provider Business Mailing Address
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Address Line | 3108 S ROUTE 59 STE 124
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City | NAPERVILLE
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State | IL
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Zip | 60564-7804
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Country | US
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Telephone | 630-983-1805
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Fax | 630-983-1845
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TIMOTHY JAMES ERICKSON
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Credential | DC
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Telephone | 630-983-1805
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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 | 038010212
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License Number State | IL
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