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General NPI Number Information
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NPI Number | 1255467213
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Entity Type | Individual
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Provider Name | HOLLY ANN KING D.C
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Gender | Female
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 40540 E ANN ARBOR TRL
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City | PLYMOUTH
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State | MI
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Zip | 48170-4402
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Country | US
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Telephone | 734-536-6932
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Fax |
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Provider Business Mailing Address
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Address Line | 9747 MARIE ST
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City | LIVONIA
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State | MI
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Zip | 48150-2433
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Country | US
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Telephone | 734-536-6932
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2301008610
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License Number State | MI
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