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General NPI Number Information
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NPI Number | 1356412852
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Entity Type | Individual
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Provider Name | SHEILA MARIE MAKHOOL-FALLOUH D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 13530 MICHIGAN AVE
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City | DEARBORN
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State | MI
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Zip | 48126-3574
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Country | US
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Telephone | 313-908-9743
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Fax | 313-908-9851
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Provider Business Mailing Address
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Address Line | 3033 LENNOX CT
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-8621
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Country | US
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Telephone | 248-914-8207
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Fax |
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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 | 2307006008
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License Number State | MI
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