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General NPI Number Information
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NPI Number | 1003401860
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Entity Type | Individual
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Provider Name | COLE ANUSBIGIAN DC
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Gender | Male
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Dates
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Enumeration Date | 03/03/2021
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Last Update Date | 09/02/2024
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Provider Practice Location Address
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Address Line | 200 W AVON RD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2702
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Country | US
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Telephone | 248-841-9857
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Fax |
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Provider Business Mailing Address
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Address Line | 340 UNIVERSITY ST
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City | FERNDALE
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State | MI
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Zip | 48220-2811
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Country | US
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Telephone | 734-716-8149
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHR.0008350
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301401506
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License Number State | MI
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