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General NPI Number Information
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NPI Number | 1154441228
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Entity Type | Organization
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Legal Business Name | LEVINE CHIROPRACTIC OF FARMINGTON HILLS P.C.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 31390 NORTHWESTERN HWY SUITE C.
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2561
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Country | US
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Telephone | 248-855-2666
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Fax | 248-855-6460
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Provider Business Mailing Address
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Address Line | 31390 NORTHWESTERN HWY SUITE C.
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2561
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Country | US
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Telephone | 248-855-2666
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Fax | 248-855-6460
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RENE JOYCE DUNHAM
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Credential |
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Telephone | 248-855-2666
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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 | 005201
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License Number State | MI
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