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General NPI Number Information
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NPI Number | 1477161966
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Entity Type | Organization
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Legal Business Name | TRUFANT CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 11775 CEDAR ROCK DR NE STE C
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City | ROCKFORD
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State | MI
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Zip | 49341-8255
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Country | US
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Telephone | 616-984-5200
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Fax | 503-296-5303
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Provider Business Mailing Address
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Address Line | 951 N JONES RD
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City | PIERSON
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State | MI
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Zip | 49339-9754
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Country | US
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Telephone | 616-990-1842
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Fax | 503-296-5303
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Authorized Official
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Title or Position | OWNER
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Name | MS. JESSICA RUTH BROWN
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Credential | DC
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Telephone | 616-984-5200
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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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