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General NPI Number Information
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NPI Number | 1366178519
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Entity Type | Organization
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Legal Business Name | PARIZ J. LUPPO, B.S., D.C., P.L.L.C.
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 455 S LIVERNOIS RD STE B-11
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2580
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Country | US
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Telephone | 248-963-2904
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Fax |
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Provider Business Mailing Address
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Address Line | 427 6TH ST
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City | ROCHESTER
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State | MI
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Zip | 48307-1401
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Country | US
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Telephone | 248-650-6100
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | PARIZ JORDAN LUPPO
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Credential | DC
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Telephone | 517-945-8115
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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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