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General NPI Number Information
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NPI Number | 1457920688
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Entity Type | Organization
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Legal Business Name | WESSEL FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 06/22/2021
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Last Update Date | 06/22/2021
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Provider Practice Location Address
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Address Line | 1064 E STERNBERG RD
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City | NORTON SHORES
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State | MI
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Zip | 49444-8796
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Country | US
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Telephone | 231-440-9338
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Fax | 231-220-9388
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Provider Business Mailing Address
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Address Line | 428 CLINTON AVE
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City | GRAND HAVEN
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State | MI
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Zip | 49417-1426
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Country | US
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Telephone | 704-651-9309
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Fax | 231-220-9388
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA THOMAS
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Credential | DC
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Telephone | 704-651-9309
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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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