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General NPI Number Information
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NPI Number | 1073730164
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Entity Type | Organization
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Legal Business Name | DUNNE CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12575 GRAFTON RD
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City | CARLETON
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State | MI
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Zip | 48117-9773
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Country | US
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Telephone | 734-654-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 12575 GRAFTON RD
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City | CARLETON
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State | MI
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Zip | 48117-9773
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Country | US
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Telephone | 734-654-0500
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | TIMOTHY ANTHONY DUNNE
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Credential | D.C.
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Telephone | 734-654-0500
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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 | 2301007102
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License Number State | MI
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