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General NPI Number Information
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NPI Number | 1669944252
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Entity Type | Organization
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Legal Business Name | LANGGLE CHIROPRACTIC LTD.
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Dates
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Enumeration Date | 12/20/2018
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 2585 OGDEN AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1708
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Country | US
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Telephone | 724-322-8113
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Fax |
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Provider Business Mailing Address
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Address Line | 129 W GROVE ST
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City | LOMBARD
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State | IL
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Zip | 60148-2207
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Country | US
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Telephone | 724-322-8113
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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. ZACHARY LANGGLE
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Credential | DC
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Telephone | 724-322-8113
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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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