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General NPI Number Information
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NPI Number | 1619151768
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Entity Type | Organization
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Legal Business Name | DOWSETT CHIROPRACTIC HEALTH CENTER P L C
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Dates
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Enumeration Date | 12/26/2007
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Last Update Date | 05/21/2013
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Provider Practice Location Address
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Address Line | 301 COMMERCIAL ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-1701
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Country | US
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Telephone | 269-782-3247
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Fax | 269-782-3326
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Provider Business Mailing Address
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Address Line | 301 COMMERCIAL ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-1701
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Country | US
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Telephone | 269-782-3247
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Fax | 269-782-3326
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | TIMOTHY JAMES DOWSETT
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Credential | DC
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Telephone | 269-782-3247
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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 | 2301006152
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License Number State | MI
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