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General NPI Number Information
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NPI Number | 1831493097
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Entity Type | Organization
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Legal Business Name | ACUCHIRO SC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 01/03/2011
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Provider Practice Location Address
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Address Line | 333 N MICHIGAN AVE STE 621
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City | CHICAGO
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State | IL
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Zip | 60601-3943
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Country | US
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Telephone | 312-541-1154
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Fax |
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Provider Business Mailing Address
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Address Line | 333 N MICHIGAN AVE STE 621
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City | CHICAGO
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State | IL
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Zip | 60601-3943
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ELIZABETH A. DAVIS
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Credential |
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Telephone | 312-541-1154
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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 | 038007159
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License Number State | IL
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