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General NPI Number Information
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NPI Number | 1720251242
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTH SERVICES PC
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 354 W CHICAGO ST
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City | COLDWATER
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State | MI
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Zip | 49036-1855
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Country | US
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Telephone | 517-278-9869
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Fax | 517-278-4573
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Provider Business Mailing Address
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Address Line | 354 W CHICAGO ST
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City | COLDWATER
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State | MI
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Zip | 49036-1855
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Country | US
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Telephone | 517-278-9869
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Fax | 517-278-4573
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK D LIROT
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Credential | DC
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Telephone | 517-278-9869
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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 | 2301004642
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 111NT0100X
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Taxonomy Name | Thermography Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 2301004642
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2301004642
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License Number State | MI
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