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General NPI Number Information
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NPI Number | 1306136817
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Entity Type | Organization
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Legal Business Name | ABSOLUTE WELLNESS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/18/2011
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1311 N MAIN ST
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City | CLAWSON
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State | MI
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Zip | 48017-1210
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Country | US
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Telephone | 248-435-2282
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Fax | 248-435-3526
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Provider Business Mailing Address
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Address Line | 38241 ROCKHILL ST
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-1772
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Country | US
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Telephone | 248-435-2282
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS LOWRY JR.
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Credential | D.C.
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Telephone | 248-435-2282
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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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