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General NPI Number Information
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NPI Number | 1043014236
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Entity Type | Individual
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Provider Name | JOSHUA CHILDS DC
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Gender | Male
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 1412 ECORSE RD
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City | YPSILANTI
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State | MI
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Zip | 48198-5985
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Country | US
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Telephone | 734-482-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 3142 MARSH RD
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City | BROOKLYN
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State | MI
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Zip | 49230-9241
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Country | US
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Telephone | 313-600-6890
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Fax |
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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 | 2301401599
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License Number State | MI
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