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General NPI Number Information
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NPI Number | 1730224270
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Entity Type | Organization
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Legal Business Name | EAST POINT ASSOCIATES, LTD.
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1525 E 53RD ST SUITE 705
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-955-9643
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Fax | 773-955-1470
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Provider Business Mailing Address
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Address Line | 1525 E 53RD ST SUITE 705
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City | CHICAGO
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State | IL
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Zip | 60615-4557
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Country | US
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Telephone | 773-955-9643
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Fax | 773-955-1470
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Authorized Official
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Title or Position | LICENSED ACUPUNCTURIST
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Name | DR. MARY J ROGEL
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Credential | PH.D., L.AC.
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Telephone | 773-955-9643
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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 | IL
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