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General NPI Number Information
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NPI Number | 1720874324
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Entity Type | Organization
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Legal Business Name | MICHIGAN CHIROPRACTIC AND NEUROPATHY CENTER
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 1428 44TH ST SW STE E
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City | WYOMING
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State | MI
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Zip | 49509-4312
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Country | US
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Telephone | 616-947-4077
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Fax |
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Provider Business Mailing Address
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Address Line | 1429 RIDGEWOOD AVE SE
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City | EAST GRAND RAPIDS
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State | MI
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Zip | 49506-5013
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Country | US
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Telephone | 630-947-2464
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARNOLD KOLDENHOVEN
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Credential | D.C.
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Telephone | 616-947-4077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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