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General NPI Number Information
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NPI Number | 1184818445
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Entity Type | Organization
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Legal Business Name | ROBINSON CHIROPRACTIC & PERSONAL FITNESS CENTER PC
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 23077 GREENFIELD RD SUITE 260
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3709
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Country | US
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Telephone | 248-443-5545
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Fax | 248-443-5560
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Provider Business Mailing Address
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Address Line | PO BOX 1000
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City | SOUTHFIELD
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State | MI
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Zip | 48037-1000
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Country | US
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Telephone | 248-443-5545
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Fax | 248-443-5560
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARCIE A. ROBINSON
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Credential |
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Telephone | 248-443-5545
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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 | 2301008020
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License Number State | MI
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