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General NPI Number Information
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NPI Number | 1700223435
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Entity Type | Organization
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Legal Business Name | PROSPINE AND SPORTS P.C.
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Dates
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Enumeration Date | 06/04/2013
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 32738 GRAND RIVER AVE
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City | FARMINGTON
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State | MI
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Zip | 48336-3132
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Country | US
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Telephone | 248-615-1381
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Fax |
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Provider Business Mailing Address
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Address Line | 32738 GRAND RIVER AVE
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City | FARMINGTON
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State | MI
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Zip | 48336-3132
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DUSTIN MATTILA
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Credential | D.C.
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Telephone | 248-615-1381
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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 | 2301009748
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License Number State | MI
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