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General NPI Number Information
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NPI Number | 1932598448
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Entity Type | Organization
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Legal Business Name | RUOF CHIROPRACTIC INC
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 02/25/2015
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Provider Practice Location Address
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Address Line | 10250 CENTRAL AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-4602
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Country | US
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Telephone | 708-423-1440
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Fax | 708-423-1909
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Provider Business Mailing Address
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Address Line | 10250 CENTRAL AVE
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City | OAK LAWN
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State | IL
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Zip | 60453-4602
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Country | US
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Telephone | 708-423-1440
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Fax | 708-423-1909
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN RUOF
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Credential | D.C.
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Telephone | 708-423-1440
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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 | 036011589
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License Number State | IL
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