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General NPI Number Information
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NPI Number | 1023348752
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Entity Type | Organization
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Legal Business Name | PIERCE CHIROPRACTIC WELLNESS CENTER, PLC
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Dates
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Enumeration Date | 12/31/2009
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 1394 DAIRY LN NE
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City | CEDAR SPRINGS
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State | MI
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Zip | 49319-8131
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Country | US
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Telephone | 616-696-6144
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Fax | 616-696-6144
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Provider Business Mailing Address
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Address Line | 1394 DAIRY LN NE
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City | CEDAR SPRINGS
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State | MI
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Zip | 49319-8131
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Country | US
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Telephone | 616-696-6144
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Fax | 616-696-6144
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS EARL PIERCE
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Credential | D.C.
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Telephone | 616-696-6144
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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 | 2301005317
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License Number State | MI
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