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General NPI Number Information
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NPI Number | 1326194796
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Entity Type | Organization
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Legal Business Name | HOLLAND CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 509 MICHIGAN AVENUE
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City | HOLLAND
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State | MI
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Zip | 49423
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Country | US
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Telephone | 616-396-4400
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Fax | 616-392-8645
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Provider Business Mailing Address
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Address Line | 509 MICHIGAN AVENUE
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City | HOLLAND
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State | MI
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Zip | 49423
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Country | US
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Telephone | 616-396-4400
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Fax | 616-392-8645
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD MICHAEL VAN KINTS
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Credential | DC
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Telephone | 616-396-4400
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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 | 2301005417
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301002047
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301009070
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License Number State | MI
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