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General NPI Number Information
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NPI Number | 1023250909
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Entity Type | Organization
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Legal Business Name | MELISSA OSBORN, PLLC
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 03/24/2009
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Provider Practice Location Address
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Address Line | 4214 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-6630
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Country | US
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Telephone | 517-552-9336
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Fax |
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Provider Business Mailing Address
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Address Line | 4214 E GRAND RIVER AVE
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City | HOWELL
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State | MI
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Zip | 48843-6630
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Country | US
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Telephone | 517-552-9336
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MELISSA BORNEMANN OSBORN
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Credential | DC
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Telephone | 517-552-9336
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2301009515
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License Number State | MI
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