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General NPI Number Information
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NPI Number | 1720349780
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Entity Type | Organization
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Legal Business Name | NEAL FAMILY CHIROPRACTIC PC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 2978 COURT ST.
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City | PEKIN
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State | IL
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Zip | 61554
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Country | US
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Telephone | 309-353-1331
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Fax | 309-353-1332
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Provider Business Mailing Address
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Address Line | 2978 COURT ST.
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City | PEKIN
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State | IL
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Zip | 61554
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Country | US
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Telephone | 309-353-1331
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Fax | 309-353-1332
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARRY MATTHEW NEAL
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Credential | D.C.
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Telephone | 309-353-1331
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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 | 038009102
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License Number State | IL
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