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General NPI Number Information
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NPI Number | 1437637287
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Entity Type | Organization
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Legal Business Name | CARTWRIGHT LOW BACK PAIN CLINIC
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Dates
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Enumeration Date | 08/03/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 14989 S DIXIE HWY
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City | MONROE
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State | MI
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Zip | 48161-3769
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Country | US
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Telephone | 734-743-2225
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Fax | 734-244-5065
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Provider Business Mailing Address
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Address Line | 14989 S DIXIE HWY
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City | MONROE
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State | MI
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Zip | 48161-3769
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Country | US
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Telephone | 734-743-2225
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Fax | 734-244-5065
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY A CARTWRIGHT
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Credential | DC, PT
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Telephone | 734-743-2225
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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 | 2685
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License Number State | MI
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