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General NPI Number Information
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NPI Number | 1962574244
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Entity Type | Organization
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Legal Business Name | ROBINSON FAMILY CHIROPRACTIC LTD.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 01/25/2013
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Provider Practice Location Address
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Address Line | 1546 E ALGONQUIN RD
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City | ALGONQUIN
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State | IL
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Zip | 60102-4519
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Country | US
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Telephone | 847-458-8444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | ALGONQUIN
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State | IL
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Zip | 60102-0369
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Country | US
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Telephone | 847-936-4894
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Fax | 847-770-4401
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD TODD ROBINSON
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Credential | DC
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Telephone | 847-963-4894
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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 | 038-008670
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License Number State | IL
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