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General NPI Number Information
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NPI Number | 1538223011
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Entity Type | Individual
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Provider Name | RICHARD ROSS CHANEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 10/12/2016
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Provider Practice Location Address
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Address Line | 1125 VILLA LINDE CT SUITE 40
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City | FLINT
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State | MI
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Zip | 48532-3410
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Country | US
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Telephone | 810-720-2200
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Fax | 810-720-1440
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Provider Business Mailing Address
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Address Line | 1125 VILLA LINDE CT SUITE 40
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City | FLINT
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State | MI
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Zip | 48532-3410
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Country | US
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Telephone | 810-720-2200
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Fax | 810-720-1440
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2301002888
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License Number State | MI
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