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General NPI Number Information
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NPI Number | 1417148750
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Entity Type | Organization
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Legal Business Name | MORAN HEALTH SYSTEM INC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 3639 CASS RD
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-9153
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Country | US
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Telephone | 231-943-2100
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Fax | 231-766-6161
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Provider Business Mailing Address
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Address Line | 3639 CASS RD
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-9153
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Country | US
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Telephone | 231-943-2100
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Fax | 231-766-6161
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTOPER MORAN
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Credential | DC
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Telephone | 231-943-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2301006134
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License Number State | MI
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