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General NPI Number Information
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NPI Number | 1235380114
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Entity Type | Organization
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Legal Business Name | ROUTLEY CHIROPRACTIC CARE CENTER P C
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 6604 9 MILE RD
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City | MECOSTA
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State | MI
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Zip | 49332-9703
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Country | US
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Telephone | 231-972-4141
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Fax | 231-972-7507
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Provider Business Mailing Address
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Address Line | PO BOX 384
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City | CADILLAC
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State | MI
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Zip | 49601-0384
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Country | US
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Telephone | 231-775-6076
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Fax | 231-775-0027
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID ROUTLEY
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Credential | DC
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Telephone | 231-972-4141
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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 | 2301005841
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License Number State | MI
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