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NPI 1568271328

NPI 1568271328 : MOVE WELL CHIROPRACTIC LLC : GARDEN CITY, MI

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General NPI Number Information
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    NPI Number           |    1568271328
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    Entity Type          |    Organization 
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    Legal Business Name  |    MOVE WELL CHIROPRACTIC LLC 
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Dates
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    Enumeration Date     |    01/06/2025
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    Last Update Date     |    01/06/2025
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Provider Practice Location Address
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    Address Line         |    29210 FORD RD 
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    City                 |    GARDEN CITY
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    State                |    MI
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    Zip                  |    48135-2848
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    Country              |    US
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    Telephone            |    734-469-2044
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    29210 FORD RD 
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    City                 |    GARDEN CITY
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    State                |    MI
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    Zip                  |    48135-2848
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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    |    OWNER
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    Name                 |     ANGELA  TOBIA 
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    Credential           |    
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    Telephone            |    586-256-3725
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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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