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General NPI Number Information
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NPI Number | 1891902466
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Entity Type | Organization
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Legal Business Name | ALL CREATURES CHIROPRACTIC OF BROOKPORT, SC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 521 OHIO ST
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City | BROOKPORT
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State | IL
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Zip | 62910
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Country | US
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Telephone | 618-564-9094
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Fax | 618-564-9095
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Provider Business Mailing Address
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Address Line | 521 OHIO ST PO BOX 157
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City | BROOKPORT
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State | IL
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Zip | 62910-0157
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Country | US
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Telephone | 618-564-9094
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Fax | 618-564-9095
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Authorized Official
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Title or Position | OWNER
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Name | DR. LLANA D CALL
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Credential | D.C.
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Telephone | 618-564-9094
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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 | 38010410
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License Number State | IL
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