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General NPI Number Information
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NPI Number | 1306782339
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Entity Type | Organization
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Legal Business Name | THE MOVEMENT LAB CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 3030 S 9TH ST STE 2A
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City | KALAMAZOO
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State | MI
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Zip | 49009-9455
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Country | US
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Telephone | 262-995-5092
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 SUNNYDALE AVE
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City | KALAMAZOO
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State | MI
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Zip | 49006-2607
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Country | US
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Telephone | 262-995-5092
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE CLARK
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Credential | DC
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Telephone | 262-995-5092
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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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