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General NPI Number Information
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NPI Number | 1215331863
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Entity Type | Organization
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Legal Business Name | HARPENAU FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 29930 W 12 MILE RD SUITE 3
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3983
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Country | US
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Telephone | 248-855-0360
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Fax |
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Provider Business Mailing Address
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Address Line | 29930 W 12 MILE RD SUITE 3
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-3983
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Country | US
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Telephone | 248-855-0360
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | KIMBERLY HARPENAU
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Credential | DC
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Telephone | 734-558-7498
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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 | 2301009836
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License Number State | MI
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