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General NPI Number Information
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NPI Number | 1588693295
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Entity Type | Organization
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Legal Business Name | MARCOUX CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 2693 OAK MEADOW DR
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City | HOWELL
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State | MI
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Zip | 48843-9485
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Country | US
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Telephone | 517-552-8531
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Fax |
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Provider Business Mailing Address
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Address Line | 2693 OAK MEADOW DR
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City | HOWELL
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State | MI
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Zip | 48843-9485
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Country | US
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Telephone | 517-552-8531
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. JAMES A MARCOUX
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Credential | D.C.
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Telephone | 517-552-8531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2301004528
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License Number State | MI
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