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General NPI Number Information
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NPI Number | 1396041570
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Entity Type | Organization
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Legal Business Name | PRIME CARE CHIROPRACTIC PC
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Dates
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Enumeration Date | 02/04/2011
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Last Update Date | 02/04/2011
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Provider Practice Location Address
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Address Line | 15841 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48228-3737
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Country | US
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Telephone | 313-914-7214
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Fax | 313-228-5274
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Provider Business Mailing Address
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Address Line | 15841 W WARREN AVE
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City | DETROIT
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State | MI
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Zip | 48228-3737
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Country | US
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Telephone | 313-914-7214
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Fax | 313-228-5274
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. NAIEL SALAMEH
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Credential | D.C.
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Telephone | 313-914-7214
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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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