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General NPI Number Information
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NPI Number | 1689663551
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Entity Type | Individual
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Provider Name | MICHAEL PATRICK MACEACHERN CHIRPRACTOR
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Gender | Male
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Dates
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Enumeration Date | 10/13/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 945 S BARTLETT RD
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City | STREAMWOOD
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State | IL
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Zip | 60107-2419
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Country | US
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Telephone | 630-483-8900
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Fax | 630-483-4337
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Provider Business Mailing Address
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Address Line | 239 N EASTERN AVE
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City | BARTLETT
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State | IL
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Zip | 60103-4111
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Country | US
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Telephone | 630-213-6646
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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 |
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License Number State | IL
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