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General NPI Number Information
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NPI Number | 1023337508
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Entity Type | Individual
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Provider Name | CHRISTA CHERI MCCRUM D.C.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 03/10/2011
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Provider Practice Location Address
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Address Line | 1832 OAK HOLLOW DR SUITE B
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-5902
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Country | US
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Telephone | 231-995-0990
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Fax | 231-995-0991
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Provider Business Mailing Address
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Address Line | 1832 OAK HOLLOW DR SUITE B
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-5902
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Country | US
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Telephone | 231-995-0990
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Fax | 231-995-0991
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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 | 2301009684
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License Number State | MI
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