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General NPI Number Information
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NPI Number | 1083653893
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Entity Type | Organization
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Legal Business Name | WILLIAM L INGLE DC
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 321 N JEBAVY DRIVE
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City | LUDINGTON
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State | MI
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Zip | 49431
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Country | US
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Telephone | 231-843-4088
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Fax | 231-845-2753
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Provider Business Mailing Address
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Address Line | 321 N JEBAVY DR
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City | LUDINGTON
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State | MI
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Zip | 49431-1923
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Country | US
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Telephone | 231-843-4088
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Fax | 231-845-2753
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM L INGLE
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Credential | DC
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Telephone | 231-843-4088
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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 | 2301005648
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License Number State | MI
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