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General NPI Number Information
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NPI Number | 1881179604
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Entity Type | Organization
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Legal Business Name | WELLNESS WITHIN CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 520 IMLAY CITY RD
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City | LAPEER
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State | MI
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Zip | 48446-3178
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Country | US
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Telephone | 810-664-4741
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 237
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City | CASS CITY
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State | MI
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Zip | 48726-0237
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Country | US
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Telephone | 989-798-4225
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. MALLORY LYNNETTE POWELL-WILKINS
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Credential | D.C.
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Telephone | 989-798-4225
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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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