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General NPI Number Information
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NPI Number | 1003632258
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Entity Type | Organization
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Legal Business Name | PURDY CHIROPRACTIC EAST
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 51 SOUTHBOUND GRATIOT AVENUE
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City | MT CLEMENS
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State | MI
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Zip | 48043
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Country | US
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Telephone | 586-465-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 427 SIXTH STREET
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City | ROCHESTER
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State | MI
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Zip | 48307
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Country | US
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Telephone | 248-650-6100
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Fax | 248-650-3751
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM ANTHONY PURDY II
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Credential | D.C
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Telephone | 248-650-6100
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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 |
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License Number State |
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