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General NPI Number Information
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NPI Number | 1851917157
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Entity Type | Individual
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Provider Name | SARAH L MONTESA DC, LAC, DIPL. AC
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Gender | Female
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 10/18/2020
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Provider Practice Location Address
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Address Line | 1323 BUTTERFIELD RD STE 108
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-5620
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Country | US
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Telephone | 847-815-1434
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Fax |
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Provider Business Mailing Address
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Address Line | 403 W HARRISON RD
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City | LOMBARD
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State | IL
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Zip | 60148-3215
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Country | US
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Telephone | 224-488-0939
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Fax |
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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 | 038.013594
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.001532
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License Number State | IL
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