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General NPI Number Information
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NPI Number | 1194648295
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Entity Type | Organization
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Legal Business Name | TWO TREES OSTEOPATHIC MEDICINE PLLC
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 433 SEMINOLE RD STE 207
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City | NORTON SHORES
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State | MI
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Zip | 49444-3762
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Country | US
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Telephone | 231-559-0300
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Fax | 231-252-1255
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Provider Business Mailing Address
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Address Line | 433 SEMINOLE RD STE 207
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City | NORTON SHORES
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State | MI
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Zip | 49444-3762
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Country | US
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Telephone | 231-559-0300
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Fax | 231-252-1255
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONOVAN JEFFCOAT
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Credential | DO
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Telephone | 231-559-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number |
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License Number State |
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