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General NPI Number Information
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NPI Number | 1194142158
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Entity Type | Organization
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Legal Business Name | TIMOTHY H GREENWOOD JR PLLC
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 1022 WEISS ST STE 3
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City | FRANKENMUTH
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State | MI
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Zip | 48734-1952
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Country | US
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Telephone | 989-652-3244
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Fax |
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Provider Business Mailing Address
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Address Line | 1022 WEISS ST STE 3
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City | FRANKENMUTH
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State | MI
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Zip | 48734-1952
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Country | US
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Telephone | 989-652-3244
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. JENNIE GREENWOOD
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Credential |
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Telephone | 989-652-3244
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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 | 2301009547
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License Number State | MI
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