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General NPI Number Information
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NPI Number | 1083256390
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Entity Type | Organization
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Legal Business Name | SPINE & WELLNESS INSTITUTE, PLLC
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 160 DIVISION ST STE E
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City | COLDWATER
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State | MI
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Zip | 49036-2914
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Country | US
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Telephone | 517-279-2342
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Fax |
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Provider Business Mailing Address
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Address Line | 160 DIVISION ST STE E
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City | COLDWATER
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State | MI
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Zip | 49036-2914
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Country | US
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Telephone | 517-279-2342
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. TY ALAN ALEXANDER MCCUEN
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Credential | DC
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Telephone | 517-279-2342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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