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General NPI Number Information
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NPI Number | 1871723114
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Entity Type | Organization
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Legal Business Name | SLAGLE FAMILY CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 45850 WARWICK DR
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City | MACOMB
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State | MI
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Zip | 48044-4066
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Country | US
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Telephone | 586-405-1244
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Fax |
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Provider Business Mailing Address
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Address Line | 45850 WARWICK DR
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City | MACOMB
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State | MI
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Zip | 48044-4066
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Country | US
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Telephone | 586-405-1244
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/SOLE OWNER
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Name | DR. MICHELLE LEIGH SLAGLE
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Credential | DC
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Telephone | 586-405-1244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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