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General NPI Number Information
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NPI Number | 1790636504
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Entity Type | Individual
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Provider Name | JENNA JEAN STEIN
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Gender | Female
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Dates
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Enumeration Date | 02/06/2026
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 27850 GRATIOT AVE
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City | ROSEVILLE
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State | MI
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Zip | 48066-4803
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Country | US
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Telephone | 586-772-5876
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Fax | 586-772-1122
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Provider Business Mailing Address
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Address Line | 41638 W VILLAGE GREEN BLVD APT 103
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City | CANTON
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State | MI
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Zip | 48187-3873
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Country | US
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Telephone | 906-370-5138
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2301401688
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License Number State | MI
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