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General NPI Number Information
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NPI Number | 1902139355
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Entity Type | Organization
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Legal Business Name | HEALTH ALTERNATIVES LTD
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/21/2012
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Provider Practice Location Address
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Address Line | 30 S MICHIGAN AVE SUITE 304
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City | CHICAGO
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State | IL
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Zip | 60603-3211
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Country | US
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Telephone | 312-553-9504
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Fax | 312-960-9902
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Provider Business Mailing Address
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Address Line | 30 S MICHIGAN AVE SUITE 304
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City | CHICAGO
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State | IL
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Zip | 60603-3211
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Country | US
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Telephone | 312-553-9504
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Fax | 312-960-9902
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWIN BERT MILLER
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Credential | M.D.
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Telephone | 312-553-9504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 036-037-128
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License Number State | IL
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