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General NPI Number Information
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NPI Number | 1376084525
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Entity Type | Organization
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Legal Business Name | APEX CHIROPRACTIC CARE PC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 19201 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48228-3393
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Country | US
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Telephone | 248-667-6525
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Fax |
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Provider Business Mailing Address
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Address Line | 19201 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48228-3393
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHRIOPRACTOR
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Name | KEITH GOVER
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Credential | D.C.
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Telephone | 248-667-6525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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