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NPI Profile for NATHAN L CARON in WATERLOO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Rehabilitation Practitioner |
225400000X |
| NPI # | 1407525702 |
|
| Status | Active | |
| Credentials | MHP | |
| Entity | Individual | |
| Enumeration date | 09/09/2021 | |
| Last updated | 12/27/2022 - About 3 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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NATHAN L CARON
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NATHAN L CARON, MHP