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General NPI Number Information
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NPI Number | 1588754550
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Entity Type | Organization
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Legal Business Name | MCMICHAEL CHIROPRACTIC FAMILY PRACTICE INC.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 3945 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718
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Country | US
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Telephone | 330-492-1010
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Fax | 330-492-7506
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Provider Business Mailing Address
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Address Line | 3945 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718
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Country | US
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Telephone | 330-492-1010
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Fax | 330-492-7506
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICK A MCMICHAEL
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Credential | DC
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Telephone | 330-492-1010
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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 | 494
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License Number State | OH
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