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General NPI Number Information
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NPI Number | 1083889984
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Entity Type | Organization
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Legal Business Name | ALBION CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 404 E MICHIGAN AVE
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City | ALBION
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State | MI
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Zip | 49224-1845
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Country | US
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Telephone | 517-629-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 404 E MICHIGAN AVE
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City | ALBION
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State | MI
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Zip | 49224-1845
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Country | US
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Telephone | 517-629-5505
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KIRK ALAN LEE
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Credential | DC
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Telephone | 517-629-5505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | 2301004500
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License Number State | MI
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