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General NPI Number Information
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NPI Number | 1538334412
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Entity Type | Organization
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Legal Business Name | DR. MARK KENDALL, D.C., P.C.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 10/31/2017
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Provider Practice Location Address
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Address Line | 1203 N COMMERCE RD
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-2610
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Country | US
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Telephone | 248-363-1775
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Fax | 248-363-3110
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Provider Business Mailing Address
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Address Line | 9555 COMMERCE RD STE 1
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-4165
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Country | US
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Telephone | 248-363-1775
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Fax | 248-363-1776
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. MARK A. KENDALL
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Credential | D.C.
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Telephone | 248-363-1775
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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 | 2301005033
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License Number State | MI
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