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General NPI Number Information
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NPI Number | 1841457157
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Entity Type | Organization
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Legal Business Name | DR MICHAEL S DELL INC
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 4640 PRATT ROAD
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City | HADLEY
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State | MI
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Zip | 48440-0265
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Country | US
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Telephone | 810-797-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 4640 PRATT ROAD PO BOX 265
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City | HADLEY
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State | MI
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Zip | 48440-0265
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Country | US
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Telephone | 810-797-5755
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL DELL
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Credential | DC
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Telephone | 810-797-5755
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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 | 2301006673
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License Number State | MI
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