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General NPI Number Information
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NPI Number | 1588949853
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Entity Type | Organization
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Legal Business Name | ADVANCED FAMILY HEALTH.COM LLC
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Dates
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Enumeration Date | 10/18/2011
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 32545 GARFIELD RD
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City | FRASER
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State | MI
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Zip | 48026-3843
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Country | US
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Telephone | 800-528-4223
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 96
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-0096
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Country | US
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Telephone | 180-052-8422
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHLEEN NOWICKI AKIN
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Credential | DC
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Telephone | 18005284223
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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 | 2301008099
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License Number State | MI
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