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General NPI Number Information
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NPI Number | 1689081424
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Entity Type | Organization
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Legal Business Name | OKEMOS CHIROPRACTIC,PLLC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 4650 DOBIE RD
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City | OKEMOS
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State | MI
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Zip | 48864-2229
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Country | US
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Telephone | 517-203-2090
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Fax | 517-203-2092
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Provider Business Mailing Address
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Address Line | 4650 DOBIE RD
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City | OKEMOS
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State | MI
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Zip | 48864-2229
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Country | US
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Telephone | 517-203-2090
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Fax | 517-203-2092
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. JEAN GUY DAIGNEAULT
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Credential | DC
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Telephone | 517-203-2090
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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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