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General NPI Number Information
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NPI Number | 1629585682
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Entity Type | Organization
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Legal Business Name | LANHUM CHIROPRACTIC, INC
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 200 S MADISON ST
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City | PITTSFIELD
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State | IL
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Zip | 62363
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Country | US
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Telephone | 217-285-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 200 S MADISON ST
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City | PITTSFIELD
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State | IL
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Zip | 62363-1954
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Country | US
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Telephone | 217-285-6300
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. CHRISTOPHER P LANHUM
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Credential | DC
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Telephone | 217-430-4697
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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 | 03812644
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License Number State | IL
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