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NPI 1306904115

NPI 1306904115 : RICHARD EMIL CHURA D.C. : ALPENA, MI

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General NPI Number Information
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    NPI Number           |    1306904115
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD EMIL CHURA D.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/05/2006
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    Last Update Date     |    04/12/2022
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Provider Practice Location Address
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    Address Line         |    2477 US HIGHWAY 23 S STE C 
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    City                 |    ALPENA
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    State                |    MI
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    Zip                  |    49707-4610
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    Country              |    US
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    Telephone            |    989-356-4126
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    Fax                  |    989-354-8715
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Provider Business Mailing Address
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    Address Line         |    145 N STATE AVE 
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    City                 |    ALPENA
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    State                |    MI
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    Zip                  |    49707-2835
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    Country              |    US
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    Telephone            |    989-356-4126
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    Fax                  |    989-354-8715
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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       |    2301004958
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    License Number State |    MI
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