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General NPI Number Information
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NPI Number | 1427690817
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Entity Type | Organization
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Legal Business Name | ROLLE AND DEWITT CHIROPRACTIC CORPORATION
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 10/17/2019
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Provider Practice Location Address
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Address Line | 106 S WASHINGTON ST
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City | CHARLOTTE
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State | MI
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Zip | 48813-1545
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Country | US
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Telephone | 517-543-7595
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S WASHINGTON ST
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City | CHARLOTTE
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State | MI
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Zip | 48813-1545
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Country | US
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Telephone | 517-543-7595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ADAM M DEWITT
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Credential | DC
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Telephone | 517-449-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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