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General NPI Number Information
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NPI Number | 1649340720
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Entity Type | Individual
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Provider Name | ARTHUR JOHN CHATELLIER III DC
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 650 N PEACE RD STE C
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City | DEKALB
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State | IL
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Zip | 60115-8401
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Country | US
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Telephone | 815-748-3102
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Fax | 815-748-7433
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Provider Business Mailing Address
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Address Line | 650 N PEACE RD STE C
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City | DEKALB
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State | IL
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Zip | 60115-8401
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Country | US
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Telephone | 815-748-3102
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Fax | 815-748-7433
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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 | 1154
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License Number State | LA
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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 | A06057
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License Number State | IA
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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 | 038008193
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License Number State | IL
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