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General NPI Number Information
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NPI Number | 1124561311
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Entity Type | Individual
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Provider Name | ADAM JAMES MACDONALD D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 02/15/2018
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Provider Practice Location Address
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Address Line | 5154 MILLER RD STE J
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City | FLINT
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State | MI
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Zip | 48507-1069
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Country | US
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Telephone | 810-733-0310
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Fax | 810-733-5554
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Provider Business Mailing Address
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Address Line | 109 FOUR SEASONS DR
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City | LAKE ORION
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State | MI
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Zip | 48360-2646
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Country | US
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Telephone | 248-770-4930
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2301010514
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License Number State | MI
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