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General NPI Number Information
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NPI Number | 1437321817
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Entity Type | Organization
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Legal Business Name | GENNERO CHIROPRACTIC LIFE CENTER
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Dates
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Enumeration Date | 03/26/2008
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 3425 FIVE POINTS DR
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2341
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Country | US
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Telephone | 248-373-2570
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Fax | 248-373-4077
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Provider Business Mailing Address
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Address Line | 3425 FIVE POINTS DR
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City | AUBURN HILLS
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State | MI
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Zip | 48326-2341
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Country | US
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Telephone | 248-373-2570
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Fax | 248-373-4077
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. FRANCHI SALVATORE GENNERO
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Credential | DC
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Telephone | 248-373-2570
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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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