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General NPI Number Information
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NPI Number | 1710511167
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Entity Type | Organization
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Legal Business Name | CALANDRA ACUPUNCTURE, INC.
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 02/25/2020
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Provider Practice Location Address
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Address Line | 47 W POLK ST STE M5
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City | CHICAGO
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State | IL
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Zip | 60605-2088
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Country | US
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Telephone | 312-796-3965
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S CHERRY ST
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City | ITASCA
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State | IL
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Zip | 60143-2109
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Country | US
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Telephone | 312-515-9492
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERESE CALANDRA
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Credential |
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Telephone | 312-515-9492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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