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General NPI Number Information
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NPI Number | 1730356262
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Entity Type | Organization
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Legal Business Name | MASHIKE CHIROPRACTIC WELLNESS CENTER PC
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 06/02/2014
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Provider Practice Location Address
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Address Line | 851 S MAIN STREET
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City | PLYMOUTH
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State | MI
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Zip | 48170
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Country | US
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Telephone | 734-354-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 851 S MAIN STREET
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City | PLYMOUTH
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State | MI
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Zip | 48170
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ADAM MASHIKE
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Credential |
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Telephone | 734-354-0020
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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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