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General NPI Number Information
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NPI Number | 1104371970
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Entity Type | Organization
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Legal Business Name | THE FIX CHIROPRACTIC GROUP PLLC
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 2839 ORCHARD LAKE RD
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City | KEEGO HARBOR
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State | MI
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Zip | 48320-1448
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Country | US
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Telephone | 248-681-7655
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Fax | 248-681-4088
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Provider Business Mailing Address
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Address Line | 2839 ORCHARD LAKE RD
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City | KEEGO HARBOR
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State | MI
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Zip | 48320-1448
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Country | US
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Telephone | 248-681-7655
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Fax | 248-681-4088
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ERIC A DUNCAN
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Credential | D.C.
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Telephone | 248-860-3481
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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 | ED008882
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License Number State | MI
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