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General NPI Number Information
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NPI Number | 1629103528
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Entity Type | Organization
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Legal Business Name | HEALTHY FAMILY CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 4415 DUKE ST SUITE #2 EAST
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City | KALAMAZOO
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State | MI
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Zip | 49008-3224
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Country | US
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Telephone | 269-567-4111
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Fax | 269-567-4113
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Provider Business Mailing Address
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Address Line | 4415 DUKE ST SUITE #2 EAST
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City | KALAMAZOO
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State | MI
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Zip | 49008-3224
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Country | US
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Telephone | 269-567-4111
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Fax | 269-567-4113
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JONATHAN HOWARD VAHUE-RUBIN
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Credential | D.C.
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Telephone | 269-567-4111
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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 | 2301007884
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License Number State | MI
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