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General NPI Number Information
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NPI Number | 1699532804
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Entity Type | Organization
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Legal Business Name | NEXTLEVEL CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 778 W MAPLE RD STE A
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City | TROY
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State | MI
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Zip | 48084-5315
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Country | US
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Telephone | 517-648-6070
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Fax |
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Provider Business Mailing Address
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Address Line | 13642 WHISPERING LN
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-5621
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Country | US
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Telephone | 586-899-5852
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Fax |
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | CAROL BRENNAN
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Credential | CPA
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Telephone | 586-899-5852
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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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