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General NPI Number Information
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NPI Number | 1134275183
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Entity Type | Organization
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Legal Business Name | FIORI P.C. BASSETT FAMILY CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 51309 MOUND RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-4344
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Country | US
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Telephone | 586-323-7901
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Fax | 586-323-7903
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Provider Business Mailing Address
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Address Line | 51309 MOUND RD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-4344
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Country | US
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Telephone | 586-323-7901
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Fax | 586-323-7903
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Authorized Official
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Title or Position | OFFICER
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Name | DR. KRISTA A BASSETT
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Credential | D.C.
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Telephone | 586-781-6955
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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 | MB008267
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | KB008256
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License Number State | MI
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