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General NPI Number Information
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NPI Number | 1831439058
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Entity Type | Organization
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Legal Business Name | DR. ADAM N RUSHFORD DC PLLC
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Dates
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Enumeration Date | 02/25/2013
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 10192 GRAND RIVER RD STE 107
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City | BRIGHTON
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State | MI
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Zip | 48116-6531
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Country | US
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Telephone | 810-494-1900
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Fax | 810-588-4053
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Provider Business Mailing Address
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Address Line | 10192 GRAND RIVER RD SUITE 107A
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City | BRIGHTON
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State | MI
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Zip | 48116-6597
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Country | US
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Telephone | 678-481-0064
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Fax | 248-573-7077
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | DR. ADAM NICHOLAS RUSHFORD
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Credential | DC
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Telephone | 678-481-0064
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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 | 2301009628
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License Number State | MI
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