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General NPI Number Information
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NPI Number | 1396822623
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Entity Type | Organization
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Legal Business Name | PLENTZ CHIROPRACTIC CLINIC INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9909 WAMPLERS LAKE RD
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City | BROOKLYN
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State | MI
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Zip | 49230-9503
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Country | US
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Telephone | 517-592-8208
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Fax | 517-592-4796
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Provider Business Mailing Address
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Address Line | 9909 WAMPLERS LAKE RD P.O. BOX 721
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City | BROOKLYN
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State | MI
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Zip | 49230-9503
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Country | US
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Telephone | 517-592-8208
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Fax | 517-592-4796
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SCOTT MANCHESTER
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Credential | D.C
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Telephone | 517-592-8208
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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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