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General NPI Number Information
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NPI Number | 1477143709
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Entity Type | Organization
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Legal Business Name | KINTIGH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/14/2022
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Provider Practice Location Address
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Address Line | 14 S 3RD AVE
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City | FRUITPORT
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State | MI
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Zip | 49415-9699
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Country | US
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Telephone | 231-366-6035
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Fax | 231-366-6073
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Provider Business Mailing Address
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Address Line | PO BOX G
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City | FRUITPORT
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State | MI
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Zip | 49415-0907
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Country | US
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Telephone | 231-366-6035
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Fax | 231-366-6073
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Authorized Official
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Title or Position | MEMBER
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Name | SETH KINTIGH
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Credential | DC
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Telephone | 517-513-2097
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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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