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General NPI Number Information
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NPI Number | 1619202587
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Entity Type | Organization
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Legal Business Name | TAMMY S. EDINGTON
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Dates
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Enumeration Date | 10/12/2009
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 245 N MAIN
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City | PERRY
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State | MI
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Zip | 48872-9700
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Country | US
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Telephone | 517-625-0577
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Fax | 517-625-0578
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Provider Business Mailing Address
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Address Line | PO BOX 275
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City | PERRY
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State | MI
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Zip | 48872-0275
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Country | US
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Telephone | 517-625-0577
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Fax | 517-625-0578
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAMMY S EDINGTON
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Credential | D.C.
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Telephone | 517-625-0577
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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 | 2301007998
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License Number State | MI
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