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General NPI Number Information
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NPI Number | 1154432870
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Entity Type | Individual
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Provider Name | MICHAEL G LEROUX DC
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 3030 E MAIN RD STE 6
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City | PORTSMOUTH
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State | RI
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Zip | 02871-4249
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Country | US
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Telephone | 858-752-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 MINERAL SPRING AVE UNIT 16
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-3742
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Country | US
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Telephone | 401-354-5500
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Fax | 401-354-7470
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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 | DC30201
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License Number State | CA
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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 | CH13656
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DCP00381
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License Number State | RI
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