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General NPI Number Information
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NPI Number | 1598087330
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Entity Type | Individual
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Provider Name | MICHAEL A. VENICE D.N.
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Gender | Male
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Dates
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Enumeration Date | 02/21/2010
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 3615 N. ASLAND AVE #1N
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City | CHICAGO
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State | IL
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Zip | 60613-4742
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Country | US
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Telephone | 773-569-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 N. ASLAND AVE #1N
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City | CHICAGO
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State | IL
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Zip | 60613-4742
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Country | US
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Telephone | 773-569-7563
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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 | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181000364
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License Number State | IL
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