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General NPI Number Information
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NPI Number | 1760814206
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Entity Type | Organization
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Legal Business Name | WEST MICHIGAN MOBILE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 6069 SAMRICK AVE NE
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City | BELMONT
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State | MI
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Zip | 49306-9485
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Country | US
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Telephone | 616-430-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 6069 SAMRICK AVE NE
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City | BELMONT
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State | MI
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Zip | 49306-9485
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Country | US
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Telephone | 616-430-2260
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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. COLIN WILLIAMS
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Credential | D.C.
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Telephone | 616-430-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 1114261948
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License Number State | MI
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