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General NPI Number Information
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NPI Number | 1568648145
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Entity Type | Organization
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Legal Business Name | APPLIED KINESIOLOGY INSTITUTE
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 203 S WEST AVE
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City | JACKSON
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State | MI
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Zip | 49201-2011
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Country | US
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Telephone | 517-780-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 203 S WEST AVE
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City | JACKSON
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State | MI
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Zip | 49201-2011
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Country | US
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Telephone | 517-780-4045
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES G. KOFFEMAN
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Credential | D.C
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Telephone | 517-780-4045
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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 | JK007516
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License Number State | MI
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