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General NPI Number Information
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NPI Number | 1922174416
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Entity Type | Organization
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Legal Business Name | BERNARD O OBRIEN DC PC
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 11259 S HARLEM AVE
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City | WORTH
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State | IL
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Zip | 60482
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Country | US
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Telephone | 708-361-1400
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Fax | 708-361-9490
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Provider Business Mailing Address
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Address Line | 11259 S HARLEM AVE
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City | WORTH
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State | IL
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Zip | 60482
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Country | US
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Telephone | 708-361-1400
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Fax | 708-361-9490
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. BERNARD OWEN OBRIEN
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Credential | DC
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Telephone | 708-361-1400
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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 |
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License Number State | IL
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