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General NPI Number Information
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NPI Number | 1578158556
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Entity Type | Organization
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Legal Business Name | JULIA AUGUSTYNIAK DC LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | 2836 W JEFFERSON AVE STE 111
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City | TRENTON
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State | MI
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Zip | 48183-2902
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Country | US
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Telephone | 734-308-2729
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Fax |
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Provider Business Mailing Address
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Address Line | 24347 BRENTWOOD DR
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City | BROWNSTOWN
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State | MI
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Zip | 48183-5432
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Country | US
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Telephone | 734-308-2729
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | JULIA ELLEN AUGUSTYNIAK
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Credential | DC
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Telephone | 734-308-2729
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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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