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General NPI Number Information
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NPI Number | 1679626493
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Entity Type | Organization
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Legal Business Name | DONNA L CRAFT DC PC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 03/26/2009
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Provider Practice Location Address
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Address Line | 8110 JACKSON RD
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City | ANN ARBOR
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State | MI
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Zip | 48103-9132
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Country | US
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Telephone | 734-426-0902
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Fax | 734-426-0903
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Provider Business Mailing Address
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Address Line | PO BOX 130
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City | BROOKLYN
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State | MI
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Zip | 49230-0130
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Country | US
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Telephone | 734-426-0902
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Fax | 734-426-0903
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONNA L CRAFT
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Credential | D.C.
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Telephone | 734-426-0902
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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 |
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License Number State |
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