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General NPI Number Information
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NPI Number | 1023268422
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Entity Type | Organization
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Legal Business Name | ONSTOTT CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 02/24/2010
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Provider Practice Location Address
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Address Line | 175 E WRIGHT AVE
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City | SHEPHERD
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State | MI
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Zip | 48883-8018
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Country | US
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Telephone | 989-828-5252
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Fax | 989-828-4321
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Provider Business Mailing Address
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Address Line | 175 E WRIGHT AVE
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City | SHEPHERD
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State | MI
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Zip | 48883-8018
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Country | US
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Telephone | 989-828-5252
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Fax | 989-828-4321
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG GERALD ONSTOTT
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Credential | DC
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Telephone | 989-828-5252
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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 | CO009303
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License Number State | MI
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