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General NPI Number Information
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NPI Number | 1801278312
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Entity Type | Organization
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Legal Business Name | WELLSPRING NAPRAPATHIC & INTEGRATIVE HEALTH INC
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Dates
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Enumeration Date | 06/19/2015
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Last Update Date | 06/19/2015
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Provider Practice Location Address
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Address Line | 398 N RIVER GLEN AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2110
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Country | US
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Telephone | 630-921-2531
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Fax |
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Provider Business Mailing Address
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Address Line | 398 N RIVER GLEN AVE
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City | ELMHURST
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State | IL
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Zip | 60126-2110
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Country | US
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Telephone | 630-921-2531
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Fax |
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Authorized Official
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Title or Position | NAPRAPATH
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Name | DR. JENNIFER BLYTHE W NEWELL
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Credential | DN
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Telephone | 630-921-2531
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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 | 01012
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 172P00000X
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Taxonomy Name | Naprapath
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License Number | 181000393
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License Number State | IL
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