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General NPI Number Information
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NPI Number | 1912431024
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Entity Type | Individual
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Provider Name | BRIDGET SCHRANK L.AC.
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Gender | Female
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Dates
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Enumeration Date | 04/14/2017
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 666 DUNDEE RD STE 1201
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City | NORTHBROOK
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State | IL
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Zip | 60062-2736
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Country | US
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Telephone | 773-245-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 301 CHIPILI DR
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City | NORTHBROOK
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State | IL
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Zip | 60062-4806
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Country | US
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Telephone | 773-245-3089
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198001242
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License Number State | IL
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