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General NPI Number Information
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NPI Number | 1720117880
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Entity Type | Organization
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Legal Business Name | LAPEER CHIROPRACTIC CENTRE PC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 498 S MAIN ST
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City | LAPEER
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State | MI
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Zip | 48446-2427
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Country | US
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Telephone | 810-664-5310
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Fax | 810-664-0221
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Provider Business Mailing Address
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Address Line | 498 S MAIN ST
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City | LAPEER
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State | MI
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Zip | 48446-2427
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Country | US
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Telephone | 810-664-5310
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Fax | 810-664-0221
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Authorized Official
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Title or Position | CHIROPRATOR
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Name | DR. MARK H. OCHADLEUS
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Credential | DC
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Telephone | 810-664-5310
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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 | 2301007261
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License Number State | MI
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