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General NPI Number Information
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NPI Number | 1801845052
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Entity Type | Individual
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Provider Name | VLADIMIR JOSIP BRAJAK DC
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 8023 GRAND RIVER RD SUITE 600
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City | BRIGHTON
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State | MI
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Zip | 48114-9392
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Country | US
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Telephone | 810-494-9300
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Fax | 810-494-9320
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Provider Business Mailing Address
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Address Line | 38254 CHARWOOD DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-1225
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Country | US
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Telephone | 586-939-5742
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Fax | 586-939-5742
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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 | VB007472
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License Number State | MI
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