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General NPI Number Information
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NPI Number | 1841563004
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Entity Type | Individual
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Provider Name | LANCE STERLING RAHDEN D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 203 E MAIN ST
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City | GREENVILLE
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State | IL
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Zip | 62246-1810
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Country | US
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Telephone | 618-664-3001
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Fax | 618-664-1898
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Provider Business Mailing Address
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Address Line | 203 E MAIN ST
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City | GREENVILLE
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State | IL
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Zip | 62246-1810
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Country | US
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Telephone | 618-664-3001
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Fax | 618-664-1898
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2012002891
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.012197
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License Number State | IL
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