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General NPI Number Information
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NPI Number | 1225330038
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Entity Type | Organization
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Legal Business Name | ATLAS ALTERNATIVE HEALTH CENTER PC
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 706 W SHARON AVE 2
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City | HOUGHTON
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State | MI
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Zip | 49931-1970
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Country | US
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Telephone | 906-483-3388
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Fax | 906-483-3788
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Provider Business Mailing Address
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Address Line | 706 W SHARON AVE 2
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City | HOUGHTON
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State | MI
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Zip | 49931-1970
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Country | US
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Telephone | 906-483-3388
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Fax | 906-483-3788
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. ANDREA BROOKE CAMPAIN
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Credential | D.C.
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Telephone | 574-850-2403
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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 | 2301009716
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License Number State | MI
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