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General NPI Number Information
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NPI Number | 1699882951
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Entity Type | Organization
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Legal Business Name | AHAD E LOTFI DC PLLC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 10/17/2014
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Provider Practice Location Address
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Address Line | 60069 COUNTY ROAD 687
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City | HARTFORD
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State | MI
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Zip | 49057-9601
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Country | US
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Telephone | 269-621-3800
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Fax | 269-621-2556
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Provider Business Mailing Address
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Address Line | 60069 COUNTY ROAD 687
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City | HARTFORD
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State | MI
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Zip | 49057-9601
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Country | US
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Telephone | 269-621-3800
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Fax | 269-621-2556
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. AHAD E LOTFI
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Credential | D.C.
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Telephone | 269-621-3800
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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 | 2301006100
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License Number State | MI
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