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General NPI Number Information
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NPI Number | 1932518636
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Entity Type | Organization
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Legal Business Name | HEALTH CHEK-HEALTH COACHING INC
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 1801 N STATE ROUTE 1 BLG, 3 STE. 2
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City | WATSEKA
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State | IL
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Zip | 60970-7562
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Country | US
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Telephone | 815-432-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 N STATE ROUTE 1 BLG, 3 STE. 2
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City | WATSEKA
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State | IL
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Zip | 60970-7562
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Country | US
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Telephone | 815-432-4177
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHY EDWARDS
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Credential |
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Telephone | 815-931-2108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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