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General NPI Number Information
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NPI Number | 1720201957
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Entity Type | Organization
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Legal Business Name | MENNER CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 110 S WYNSTONE PARK DR SUITE 105
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City | NORTH BARRINGTON
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State | IL
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Zip | 60010-6979
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Country | US
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Telephone | 847-540-6060
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Fax | 847-277-8012
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Provider Business Mailing Address
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Address Line | 110 S WYNSTONE PARK DR SUITE 105
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City | NORTH BARRINGTON
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State | IL
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Zip | 60010-6979
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Country | US
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Telephone | 847-540-6060
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Fax | 847-277-8012
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID J MENNER
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Credential | D.C.
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Telephone | 847-540-6060
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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 | 038006436
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License Number State | IL
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