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General NPI Number Information
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NPI Number | 1649289125
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Entity Type | Organization
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Legal Business Name | QIN ACUPUNCTURE & CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 855 E PALATINE RD STE 170
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City | PALATINE
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State | IL
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Zip | 60074-5500
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Country | US
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Telephone | 847-202-9988
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Fax | 847-202-9795
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Provider Business Mailing Address
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Address Line | 855 E PALATINE RD STE 170
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City | PALATINE
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State | IL
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Zip | 60074-5500
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Country | US
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Telephone | 847-202-9988
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Fax | 847-202-9795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GUANG QIN
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Credential | L.AC, DC
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Telephone | 847-202-9988
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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 | 038-008024
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License Number State | IL
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