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General NPI Number Information
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NPI Number | 1760909675
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Entity Type | Organization
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Legal Business Name | KALAPP, INC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2426 CHARTRES ST
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City | LA SALLE
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State | IL
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Zip | 61301-1107
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Country | US
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Telephone | 815-223-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 2426 CHARTRES ST
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City | LA SALLE
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State | IL
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Zip | 61301-1107
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Country | US
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Telephone | 815-223-0988
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID KEANE KALAPP
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Credential | DC
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Telephone | 815-223-0988
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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 | 038.010808
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License Number State | IL
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