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General NPI Number Information
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NPI Number | 1962882704
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Entity Type | Individual
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Provider Name | IXCHEL Z MUHLBERGER L.AC.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2015
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Last Update Date | 06/07/2015
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Provider Practice Location Address
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Address Line | 1818 DEMPSTER ST
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City | EVANSTON
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State | IL
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Zip | 60202-1003
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Country | US
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Telephone | 847-868-0528
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Fax |
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Provider Business Mailing Address
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Address Line | 6342 N MOZART ST
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City | CHICAGO
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State | IL
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Zip | 60659-1524
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Country | US
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Telephone |
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198000970
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License Number State | IL
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