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General NPI Number Information
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NPI Number | 1609210343
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Entity Type | Organization
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Legal Business Name | ROSEBUD HEALTH INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 770 DONA CT
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City | WOODSTOCK
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State | IL
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Zip | 60098-2226
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Country | US
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Telephone | 815-858-4886
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Fax |
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Provider Business Mailing Address
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Address Line | 770 DONA CT
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City | WOODSTOCK
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State | IL
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Zip | 60098-2226
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Country | US
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Telephone | 815-858-4886
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERESA LOUISE JANOWSKI
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Credential | D.C.
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Telephone | 815-858-4886
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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 |
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