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General NPI Number Information
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NPI Number | 1649344086
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Entity Type | Organization
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Legal Business Name | HARBOR FRONT FAMILY CHIROPRACTORS
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Dates
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Enumeration Date | 11/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 300 S RATH AVE SUITE 102
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City | LUDINGTON
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State | MI
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Zip | 49431-3003
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Country | US
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Telephone | 213-845-7800
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Fax | 231-845-7885
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Provider Business Mailing Address
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Address Line | 300 S RATH AVE SUITE 102
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City | LUDINGTON
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State | MI
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Zip | 49431-3003
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Country | US
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Telephone | 213-845-7800
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Fax | 231-845-7885
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. CHRISTOPHER ROLF TOELLNER
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Credential | D.C.
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Telephone | 231-845-7800
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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 | 2301008716
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License Number State | MI
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