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General NPI Number Information
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NPI Number | 1750674750
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Entity Type | Organization
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Legal Business Name | 4 CITIES FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/24/2011
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 3405 STERNS RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9576
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Country | US
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Telephone | 734-568-6066
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Fax | 866-756-3721
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Provider Business Mailing Address
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Address Line | 3405 STERNS RD
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City | LAMBERTVILLE
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State | MI
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Zip | 48144-9576
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Country | US
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Telephone | 734-568-6066
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Fax | 866-756-3721
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Authorized Official
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Title or Position | SOLE PROVIDER/ OWNER
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Name | DR. MATT LIBERTY SPIERS
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Credential | DC FAAIM
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Telephone | 734-568-6066
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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 | 2301000459
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License Number State | MI
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