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General NPI Number Information
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NPI Number | 1942773882
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Entity Type | Individual
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Provider Name | VARTAN CHAKALIAN DC
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Gender | Male
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 2070 N RAND RD STE AB
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City | PALATINE
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State | IL
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Zip | 60074-2595
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Country | US
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Telephone | 714-421-1974
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Fax |
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Provider Business Mailing Address
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Address Line | 601 DEEPWOOD RD
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City | BARRINGTON
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State | IL
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Zip | 60010-8611
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Country | US
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Telephone | 714-421-1974
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.013310
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License Number State | IL
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