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General NPI Number Information
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NPI Number | 1124321005
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Entity Type | Organization
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Legal Business Name | KARMON CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 6294 W MAIN ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-8925
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Country | US
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Telephone | 269-372-9242
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Fax |
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Provider Business Mailing Address
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Address Line | 6294 W MAIN ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-8925
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Country | US
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Telephone | 269-372-9242
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY KARMON
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Credential | D.C.
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Telephone | 269-806-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 2301006062
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License Number State | MI
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