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General NPI Number Information
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NPI Number | 1659325009
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Entity Type | Organization
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Legal Business Name | INNERLINK CHIROPRACTIC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/09/2011
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Provider Practice Location Address
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Address Line | 28345 BECK RD SUITE 412
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City | WIXOM
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State | MI
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Zip | 48393-4733
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Country | US
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Telephone | 248-349-0300
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Fax | 248-349-0307
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Provider Business Mailing Address
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Address Line | 28345 BECK RD SUITE 412
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City | WIXOM
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State | MI
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Zip | 48393-4733
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Country | US
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Telephone | 248-349-0300
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Fax | 248-349-0307
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. CHRIS NIEDZINSKI
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Credential | D.C.
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Telephone | 248-349-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 2301008931
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License Number State | MI
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