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General NPI Number Information
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NPI Number | 1174706758
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Entity Type | Organization
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Legal Business Name | BEND CHIROPRACTIC CLINIC PC
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 10/16/2009
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Provider Practice Location Address
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Address Line | 37339 GREEN ST
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-1664
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Country | US
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Telephone | 586-725-1111
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Fax | 586-725-8041
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Provider Business Mailing Address
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Address Line | 37339 GREEN ST
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City | NEW BALTIMORE
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State | MI
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Zip | 48047-1664
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Country | US
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Telephone | 586-725-1111
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Fax | 586-725-8041
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD LOUIS BEND SR.
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Credential | D.C.
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Telephone | 586-725-1111
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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 |
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License Number State |
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