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General NPI Number Information
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NPI Number | 1548917008
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Entity Type | Organization
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Legal Business Name | DALTON CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 487 N MAIN ST STE D
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City | FRANKENMUTH
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State | MI
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Zip | 48734-1112
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Country | US
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Telephone | 989-297-5473
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Fax |
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Provider Business Mailing Address
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Address Line | 4849 MACKINAW RD
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City | SAGINAW
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State | MI
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Zip | 48603-7247
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FRONT DESK MANAGER
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Name | RACHEL CLEMENTS
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Credential |
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Telephone | 989-948-0755
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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 |
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