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General NPI Number Information
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NPI Number | 1245414069
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Entity Type | Organization
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Legal Business Name | NORRIS CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 3719 S WESTNEDGE AVE STE B
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City | KALAMAZOO
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State | MI
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Zip | 49008-2979
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Country | US
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Telephone | 269-324-3131
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Fax | 269-329-2983
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Provider Business Mailing Address
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Address Line | 3719 S WESTNEDGE AVE STE B
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City | KALAMAZOO
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State | MI
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Zip | 49008-2979
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Country | US
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Telephone | 269-324-3131
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Fax | 269-329-2983
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. LARRY LEE NORRIS
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Credential | D.C.
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Telephone | 269-324-3131
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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 | LN006036
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License Number State | MI
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