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General NPI Number Information
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NPI Number | 1285890384
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Entity Type | Organization
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Legal Business Name | SHEILA MCKENZIE D.C., P.C.
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 1065 E LONG LAKE RD
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City | TROY
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State | MI
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Zip | 48085-4912
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Country | US
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Telephone | 248-524-2223
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Fax | 248-524-1398
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Provider Business Mailing Address
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Address Line | 1065 E LONG LAKE RD
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City | TROY
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State | MI
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Zip | 48085-4912
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Country | US
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Telephone | 248-524-2223
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Fax | 248-524-1398
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Authorized Official
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Title or Position | PRESISDENT/OWNER
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Name | DR. SHEILA G. MCKENZIE
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Credential | D.C.
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Telephone | 248-524-2223
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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 | 2301004824
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License Number State | MI
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