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General NPI Number Information
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NPI Number | 1497995310
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Entity Type | Organization
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Legal Business Name | MCKERNAN FAMILY CHIROPRACTIC CENTER P.C.
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 50544 SCHOENHERR RD
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City | SHELBY TWP
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State | MI
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Zip | 48315-3134
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Country | US
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Telephone | 586-532-1448
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Fax | 586-532-1472
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Provider Business Mailing Address
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Address Line | 50544 SCHOENHERR RD
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City | SHELBY TWP
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State | MI
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Zip | 48315-3134
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Country | US
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Telephone | 586-532-1448
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Fax | 586-532-1472
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. CHAD DONALD MCKERNAN
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Credential | D.C.
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Telephone | 586-532-1448
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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 | 2301008433
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License Number State | MI
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