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General NPI Number Information
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NPI Number | 1609043058
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Entity Type | Organization
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Legal Business Name | DENNIS G BROWNRIDGE D C P C
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 5015 S PENNSYLVANIA AVE
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City | LANSING
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State | MI
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Zip | 48910-7622
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Country | US
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Telephone | 517-887-2515
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Fax | 517-887-3220
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Provider Business Mailing Address
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Address Line | 5015 S PENNSYLVANIA AVE
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City | LANSING
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State | MI
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Zip | 48910-7622
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Country | US
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Telephone | 517-887-2515
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Fax | 517-887-3220
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS G BROWNRIDGE
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Credential | DC
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Telephone | 517-887-2515
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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 | DB002338
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License Number State | MI
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