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General NPI Number Information
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NPI Number | 1457973844
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Entity Type | Organization
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Legal Business Name | OPTIMUM HEALTH CHIROPRACTIC
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Dates
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Enumeration Date | 05/08/2020
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Last Update Date | 11/01/2022
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Provider Practice Location Address
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Address Line | 2281 S OTSEGO AVE
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City | GAYLORD
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State | MI
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Zip | 49735-9419
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Country | US
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Telephone | 989-448-8482
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1465
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City | GAYLORD
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State | MI
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Zip | 49734-5465
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Country | US
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Telephone | 989-448-8482
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. BLAIR ALLEN MURPHY II
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Credential | DC
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Telephone | 989-448-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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