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General NPI Number Information
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NPI Number | 1417128877
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Entity Type | Organization
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Legal Business Name | BORER FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 210 W MICHIGAN AVE
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City | SALINE
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State | MI
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Zip | 48176-1327
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Country | US
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Telephone | 734-944-7200
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Fax | 734-944-8070
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Provider Business Mailing Address
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Address Line | 210 W MICHIGAN AVE
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City | SALINE
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State | MI
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Zip | 48176-1327
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Country | US
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Telephone | 734-944-7200
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Fax | 734-944-8070
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MR. ROBERT C BORER III
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Credential | DC
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Telephone | 734-944-7200
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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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