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General NPI Number Information
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NPI Number | 1346662848
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Entity Type | Organization
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Legal Business Name | AMERICAN CHIROPRACTIC MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 04/29/2014
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Provider Practice Location Address
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Address Line | 621 CHARTIER STE B
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City | MARINE CITY
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State | MI
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Zip | 48039-2350
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Country | US
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Telephone | 810-420-0804
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Fax |
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Provider Business Mailing Address
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Address Line | 621 CHARTIER SUITEB
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City | MARINE CITY
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State | MI
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Zip | 48039-2350
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Country | US
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Telephone | 810-420-0804
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | AAFERTI-ELRA AMON MORGAN
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Credential | D.C.
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Telephone | 810-420-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State | MI
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