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General NPI Number Information
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NPI Number | 1932650843
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Entity Type | Organization
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Legal Business Name | ARMOT HEALTH CORP
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 10/17/2016
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Provider Practice Location Address
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Address Line | 922 W ARMITAGE AVE 3F
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City | CHICAGO
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State | IL
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Zip | 60614-1985
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Country | US
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Telephone | 262-676-9370
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Fax |
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Provider Business Mailing Address
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Address Line | 922 W ARMITAGE AVE 3F
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City | CHICAGO
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State | IL
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Zip | 60614-1985
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Country | US
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Telephone | 262-676-9370
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KYLE ROSS
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Credential | D.C.
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Telephone | 262-676-9370
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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 | 038012686
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License Number State | IL
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