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General NPI Number Information
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NPI Number | 1578750923
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPLEMENTARY AND INTEGRATIVE MEDICINE
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 03/06/2024
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Provider Practice Location Address
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Address Line | 40000 8 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-2134
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Country | US
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Telephone | 248-380-6201
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Fax | 248-380-6246
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Provider Business Mailing Address
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Address Line | 40000 8 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-2134
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Country | US
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Telephone | 248-380-6201
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Fax | 248-380-6246
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER AFFAIRS
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Name | KELLY RATOWSKI
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Credential |
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Telephone | 248-703-2003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301005573
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License Number State | MI
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