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General NPI Number Information
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NPI Number | 1588047658
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Entity Type | Organization
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Legal Business Name | AURORA CHIROPRACTIC LLC
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Dates
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Enumeration Date | 07/07/2015
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 1311 BUTTERFIELD RD
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City | AURORA
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State | IL
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Zip | 60502-8944
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Country | US
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Telephone | 630-506-8804
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Fax | 630-478-9337
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Provider Business Mailing Address
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Address Line | 1311 BUTTERFIELD RD
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City | AURORA
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State | IL
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Zip | 60502-8944
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Country | US
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Telephone | 630-506-8804
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Fax | 630-478-9337
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Authorized Official
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Title or Position | OWNER
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Name | DR. KENDALL PRICE
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Credential | DC
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Telephone | 630-506-8804
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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 | 038.012814
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License Number State | IL
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