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General NPI Number Information
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NPI Number | 1619939253
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Entity Type | Individual
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Provider Name | RONALD J MUELLER D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 12/20/2010
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Provider Practice Location Address
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Address Line | 903 S STATE ST
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City | JERSEYVILLE
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State | IL
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Zip | 62052-2344
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Country | US
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Telephone | 618-498-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 903 S STATE ST
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City | JERSEYVILLE
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State | IL
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Zip | 62052-2344
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Country | US
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Telephone | 618-498-8806
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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 | 08001802A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 004476
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038-004303
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License Number State | IL
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