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General NPI Number Information
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NPI Number | 1801083951
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Entity Type | Organization
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Legal Business Name | ALLIED CHIROPRACTIC CARE
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 620 2ND ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2272
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Country | US
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Telephone | 231-922-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 620 2ND ST
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-2272
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Country | US
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Telephone | 231-922-0233
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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. STEPHANIE MARIE CRUBAUGH
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Credential | D.C.
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Telephone | 563-340-3735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2301009373
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License Number State | MI
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