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General NPI Number Information
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NPI Number | 1861898165
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Entity Type | Individual
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Provider Name | MICHAEL GENSLINGER D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 04/21/2016
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Provider Practice Location Address
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Address Line | 3033 OGDEN AVE SUITE 112
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City | LISLE
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State | IL
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Zip | 60532-1673
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Country | US
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Telephone | 630-442-7175
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Fax | 630-631-0998
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Provider Business Mailing Address
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Address Line | 3033 OGDEN AVE SUITE 112
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City | LISLE
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State | IL
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Zip | 60532-1673
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Country | US
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Telephone | 630-442-7175
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Fax | 630-631-0998
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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 | 038.012720
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License Number State | IL
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