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General NPI Number Information
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NPI Number | 1588836837
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Entity Type | Organization
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Legal Business Name | TAYLOR CHIROPRACTIC, PLC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 911 DIX ST SUITE D
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City | OTSEGO
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State | MI
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Zip | 49078-1608
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Country | US
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Telephone | 269-694-5871
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Fax | 269-694-5869
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Provider Business Mailing Address
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Address Line | 911 DIX ST SUITE D
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City | OTSEGO
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State | MI
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Zip | 49078-1608
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Country | US
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Telephone | 269-694-5871
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Fax | 269-694-5869
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Authorized Official
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Title or Position | ADM.
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Name | MRS. CHERYL ANN TAYLOR
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Credential |
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Telephone | 269-694-5871
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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 | 2301004704
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License Number State | MI
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