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General NPI Number Information
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NPI Number | 1790131563
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Entity Type | Organization
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Legal Business Name | TOMLINSON AND TULLY HEALTH
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 1258 WALTON BLVD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-6900
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Country | US
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Telephone | 850-803-0316
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Fax |
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Provider Business Mailing Address
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Address Line | 1258 WALTON BLVD
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-6900
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Country | US
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Telephone | 850-803-0316
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. GRANT TULLY
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Credential | D.C.
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Telephone | 850-803-0316
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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 | 2301010297
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License Number State | MI
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