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General NPI Number Information
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NPI Number | 1992884670
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Entity Type | Individual
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Provider Name | ANTHONY M PIRIE D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1011 ESSING RD
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City | JOLIET
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State | IL
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Zip | 60435-2869
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Country | US
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Telephone | 815-725-8345
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Fax | 815-725-8310
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Provider Business Mailing Address
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Address Line | 1011 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2869
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Country | US
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Telephone | 815-725-8345
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Fax | 815-725-8310
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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 | 038-009041
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License Number State | IL
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