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General NPI Number Information
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NPI Number | 1568682201
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Entity Type | Individual
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Provider Name | CHARLES MICHAEL LIETZ D.C.
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Gender | Male
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3584 FAIRLANES AVE SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1583
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Country | US
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Telephone | 616-530-3333
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Fax | 616-530-8320
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Provider Business Mailing Address
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Address Line | 3584 FAIRLANES AVE SW
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City | GRANDVILLE
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State | MI
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Zip | 49418-1583
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Country | US
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Telephone | 616-530-3333
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Fax | 616-530-8320
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | L761039
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License Number State | MI
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