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General NPI Number Information
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NPI Number | 1871702746
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Entity Type | Organization
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Legal Business Name | HEALTH CHOICE CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 43297 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1115
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Country | US
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Telephone | 586-286-1100
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Fax | 586-286-1122
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Provider Business Mailing Address
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Address Line | 43297 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1115
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Country | US
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Telephone | 586-286-1100
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Fax | 586-286-1122
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RAYMOND J KAMINSKI
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Credential | DC
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Telephone | 586-286-1100
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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 | RK003072
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License Number State | MI
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