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General NPI Number Information
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NPI Number | 1467561225
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Entity Type | Organization
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Legal Business Name | CHIROMED CENTER, INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 E M 21
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City | OWOSSO
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State | MI
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Zip | 48867-9007
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Country | US
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Telephone | 989-729-2273
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Fax | 989-723-4836
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Provider Business Mailing Address
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Address Line | 1010 E M 21
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City | OWOSSO
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State | MI
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Zip | 48867-9007
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Country | US
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Telephone | 989-729-2273
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Fax | 989-723-4836
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Authorized Official
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Title or Position | OWNER
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Name | MR. KHALED M ABOUHAIF
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Credential | D.C.
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Telephone | 770-419-1028
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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 | 2301008911
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License Number State | MI
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