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General NPI Number Information
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NPI Number | 1801065354
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Entity Type | Organization
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Legal Business Name | CRANE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 26 N OLD RAND RD
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2218
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Country | US
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Telephone | 630-967-8407
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Fax |
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Provider Business Mailing Address
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Address Line | 26 N OLD RAND RD
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City | LAKE ZURICH
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State | IL
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Zip | 60047-2218
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Country | US
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Telephone | 630-967-8407
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. LAURA ANN CRANE
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Credential | D.C.
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Telephone | 630-967-8407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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