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General NPI Number Information
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NPI Number | 1346231370
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Entity Type | Individual
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Provider Name | JODY TENJERAS DC
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 09/03/2013
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Provider Practice Location Address
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Address Line | 10635 HIGHLAND ROAD
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City | WHITE LAKE
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State | MI
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Zip | 48386-3169
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Country | US
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Telephone | 248-698-8677
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Fax | 248-698-8645
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Provider Business Mailing Address
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Address Line | 10635 HIGHLAND RD
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City | WHITE LAKE
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State | MI
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Zip | 48386-2147
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Country | US
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Telephone | 248-698-8677
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Fax | 348-698-8645
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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 | 2301007118
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License Number State | MI
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