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General NPI Number Information
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NPI Number | 1316611197
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Entity Type | Organization
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Legal Business Name | PURE FAMILY CHIROPRACTIC
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 207 W JOHN ST
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City | NEWBERRY
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State | MI
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Zip | 49868-1126
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Country | US
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Telephone | 906-291-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 207 W JOHN ST
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City | NEWBERRY
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State | MI
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Zip | 49868-1126
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Country | US
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Telephone | 906-286-0163
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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. STEPHANIE ZELLAR
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Credential | DC
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Telephone | 906-286-0163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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