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General NPI Number Information
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NPI Number | 1326477902
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Entity Type | Organization
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Legal Business Name | INFINITY WELLNESS CENTERS, INC
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Dates
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Enumeration Date | 11/05/2013
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 750 S OLD WOODWARD AVE
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6600
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Country | US
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Telephone | 248-792-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 750 S OLD WOODWARD AVE
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6600
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Country | US
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Telephone | 248-792-6570
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SILVIO J COZZETTO
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Credential |
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Telephone | 248-792-6570
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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