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General NPI Number Information
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NPI Number | 1689895039
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Entity Type | Organization
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Legal Business Name | STONE CHIROPRACTIC HEALTH CENTER, PLLC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9126 LAPEER RD SUITE 4
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City | DAVISON
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State | MI
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Zip | 48423-3616
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Country | US
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Telephone | 810-654-0550
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Fax | 810-654-0660
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Provider Business Mailing Address
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Address Line | 9126 LAPEER RD SUITE 4
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City | DAVISON
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State | MI
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Zip | 48423-3616
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Country | US
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Telephone | 810-654-0550
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Fax | 810-654-0660
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. DAVID MICHAEL STONE
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Credential | D.C.
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Telephone | 810-654-0550
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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 | 2301007877
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License Number State | MI
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