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General NPI Number Information
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NPI Number | 1548269509
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Entity Type | Organization
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Legal Business Name | GRATIOT CHIROPRACTIC HEALTH, PC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 318 WOODWORTH AVE
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City | ALMA
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State | MI
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Zip | 48801-1827
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Country | US
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Telephone | 989-463-5564
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Fax | 989-463-5898
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Provider Business Mailing Address
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Address Line | 318 WOODWORTH AVE
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City | ALMA
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State | MI
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Zip | 48801-1827
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Country | US
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Telephone | 989-463-5564
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Fax | 989-463-5898
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHRYN I BERRYO
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Credential | DC
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Telephone | 989-463-5564
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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 | MI
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