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General NPI Number Information
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NPI Number | 1841874351
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Entity Type | Organization
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Legal Business Name | ENHANCED CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 5065 MILLER RD STE 2
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City | FLINT
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State | MI
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Zip | 48507-1037
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Country | US
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Telephone | 810-732-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 12087 CHURCH ST
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City | BIRCH RUN
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State | MI
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Zip | 48415-8758
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Country | US
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Telephone | 989-860-8972
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JACOB WEISS
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Credential | DC
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Telephone | 989-860-8972
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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 |
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