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General NPI Number Information
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NPI Number | 1265392427
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Entity Type | Organization
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Legal Business Name | ADVANCE CHIROPRACTIC CARE PC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 225 BROOKWOOD DR UNIT 13
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City | SOUTH LYON
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State | MI
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Zip | 48178-1860
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Country | US
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Telephone | 586-301-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 225 BROOKWOOD DR UNIT 13
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City | SOUTH LYON
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State | MI
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Zip | 48178-1860
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/D.C
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Name | DR. KEITH B GOVER
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Credential | D.C
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Telephone | 586-301-2037
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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 |
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License Number State |
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