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General NPI Number Information
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NPI Number | 1144518705
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Entity Type | Organization
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Legal Business Name | CHARLES LIETZ ACTION AK CHIROPRACTIC CLINIC LLC
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 3584 FAIRLANES AVE SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1583
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Country | US
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Telephone | 616-530-3333
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Fax | 616-608-3803
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Provider Business Mailing Address
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Address Line | 3584 FAIRLANES AVE SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1583
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Country | US
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Telephone | 616-530-3333
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Fax | 616-608-3803
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES MICHAEL LIETZ
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Credential | D.C.
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Telephone | 616-530-3333
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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 | 2301004973
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License Number State | MI
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