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NPI 1720202955

NPI 1720202955 : ERIN MARIE PAULSEN D.N. : ROSEMONT, IL

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General NPI Number Information
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    NPI Number           |    1720202955
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    Entity Type          |    Individual 
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    Provider Name        |    ERIN MARIE PAULSEN D.N.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/12/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    6133 N RIVER RD SUITE 199L
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    City                 |    ROSEMONT
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    State                |    IL
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    Zip                  |    60018-5181
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    Country              |    US
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    Telephone            |    847-696-2772
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    850 DES PLAINES AVE UNIT 505
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    City                 |    FOREST PARK
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    State                |    IL
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    Zip                  |    60130-2082
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    Country              |    US
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    Telephone            |    847-696-2772
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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        |    172P00000X
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    Taxonomy Name        |    Naprapath
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    License Number       |    
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    License Number State |    IL
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