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General NPI Number Information
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NPI Number | 1427858729
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Entity Type | Organization
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Legal Business Name | BLOOMFIELD CHIROPRACTIC CENTER PLLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 6250 ORCHARD LAKE RD STE A
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-2321
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Country | US
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Telephone | 248-626-3030
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Fax | 248-626-3455
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Provider Business Mailing Address
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Address Line | 42160 WOODWARD AVE UNIT 64
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5160
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Country | US
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Telephone | 517-262-8052
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Fax | 248-626-3455
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. PATRICIA BASSETT
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Credential | DC
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Telephone | 517-262-8052
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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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