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General NPI Number Information
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NPI Number | 1710807268
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Entity Type | Organization
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Legal Business Name | SLAGLE FAMILY WELLNESS CENTER
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 45637 HAYES RD
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City | SHELBY TWP
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State | MI
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Zip | 48315-6214
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Country | US
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Telephone | 586-991-6471
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Fax |
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Provider Business Mailing Address
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Address Line | 45637 HAYES RD
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City | SHELBY TWP
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State | MI
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Zip | 48315-6214
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Country | US
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Telephone | 586-991-6471
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHADWICK T JACKSON
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Credential | DC
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Telephone | 502-642-7079
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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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