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General NPI Number Information
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NPI Number | 1477795581
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Entity Type | Organization
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Legal Business Name | ELITE CHIROPRACTIC CENTER PC
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Dates
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Enumeration Date | 04/03/2009
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 4953 SCHAEFER RD
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City | DEARBORN
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State | MI
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Zip | 48126-3260
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Country | US
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Telephone | 313-595-5056
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1708
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City | DEARBORN
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State | MI
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Zip | 48121-1708
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Country | US
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Telephone | 313-595-5056
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DR. NAIEL SALAMEH
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Credential | D.C.
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Telephone | 313-595-5056
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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 | 2301008684
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License Number State | MI
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