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General NPI Number Information
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NPI Number | 1003089335
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Entity Type | Organization
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Legal Business Name | GEARY J MICHELS, D.C., P.C
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 4666 COMMERCIAL ST SE
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City | SALEM
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State | OR
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Zip | 97302-1902
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Country | US
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Telephone | 503-399-7607
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Fax | 503-364-1016
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Provider Business Mailing Address
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Address Line | 4666 COMMERCIAL ST SE
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City | SALEM
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State | OR
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Zip | 97302-1902
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Country | US
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Telephone | 503-399-7607
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Fax | 503-364-1016
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. GEARY JOE MICHELS
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Credential | D.C.
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Telephone | 503-399-7607
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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 | 2042
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License Number State | OR
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