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General NPI Number Information
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NPI Number | 1821260399
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Entity Type | Organization
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Legal Business Name | VILLAGE CHIROPRACTIC, PLC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 54 COURTLAND ST STE F
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City | ROCKFORD
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State | MI
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Zip | 49341-1412
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Country | US
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Telephone | 616-863-9771
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Fax | 616-863-9771
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Provider Business Mailing Address
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Address Line | 54 COURTLAND ST STE F
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City | ROCKFORD
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State | MI
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Zip | 49341-1412
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Country | US
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Telephone | 616-863-9771
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Fax | 616-863-9771
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Authorized Official
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Title or Position | CHIROPRACTIC PHYSICIAN
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Name | DR. ALLAN J MIDDLETON
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Credential | DC
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Telephone | 616-863-9771
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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 |
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License Number State | MI
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