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General NPI Number Information
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NPI Number | 1730290891
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Entity Type | Organization
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Legal Business Name | RODNICK CHIROPRACTIC CONSULTANTS PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/25/2012
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Provider Practice Location Address
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Address Line | 4604 N SAGINAW RD SUITE A
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City | MIDLAND
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State | MI
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Zip | 48640-2387
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Country | US
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Telephone | 989-631-7246
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Fax | 989-832-1631
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Provider Business Mailing Address
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Address Line | 4604 N SAGINAW RD SUITE A
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City | MIDLAND
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State | MI
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Zip | 48640-2387
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Country | US
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Telephone | 989-631-7246
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Fax | 989-832-1631
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Authorized Official
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Title or Position | OWNER; CHIROPRACTOR
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Name | COREY B RODNICK
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Credential | D.C.; B.S.; PH.D.
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Telephone | 989-631-7246
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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 | M12301004924
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License Number State | MI
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