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General NPI Number Information
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NPI Number | 1326260696
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Entity Type | Organization
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Legal Business Name | ABBOTT FAMILY CHIROPRACTIC CENTER PLLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 150 MARY ALEXANDER COURT
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City | NORTHVILLE
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State | MI
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Zip | 48167-1628
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Country | US
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Telephone | 248-449-2802
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Fax | 248-449-2796
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Provider Business Mailing Address
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Address Line | 150 MARY ALEXANDER COURT
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City | NORTHVILLE
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State | MI
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Zip | 48167-1628
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Country | US
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Telephone | 248-449-2802
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Fax | 248-449-2796
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. WILLIAM JAMES ABBOTT
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Credential | D.C.
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Telephone | 248-449-2802
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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 | 2301008633
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License Number State | MI
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