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General NPI Number Information
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NPI Number | 1164847984
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Entity Type | Organization
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Legal Business Name | ACTON FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 03/03/2014
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Last Update Date | 03/03/2014
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Provider Practice Location Address
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Address Line | 3584 FAIRLANES AVE SW SUITE C
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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 | 517-242-9729
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Fax |
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Provider Business Mailing Address
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Address Line | 3584 FAIRLANES AVE SW SUITE C
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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 |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. COURTNEY DENA HENDON-ACTON
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Credential | D.C.
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Telephone | 517-242-9729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2301010175
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License Number State | MI
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