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General NPI Number Information
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NPI Number | 1881217677
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Entity Type | Organization
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Legal Business Name | SAUNDERS CHIROPRACTIC CLINIC
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 05/27/2020
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Provider Practice Location Address
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Address Line | 231 TROWBRIDGE ST UNIT 2
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City | ALLEGAN
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State | MI
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Zip | 49010-1386
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Country | US
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Telephone | 269-512-7077
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Fax | 269-512-7078
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Provider Business Mailing Address
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Address Line | PO BOX 6
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City | ALLEGAN
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State | MI
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Zip | 49010-0006
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Country | US
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Telephone | 269-512-7077
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Fax | 269-512-7078
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Authorized Official
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Title or Position | OWNER / CHIROPRACTOR
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Name | DR. ROCKY SHAYNE SAUNDERS JR.
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Credential | DC
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Telephone | 269-512-7077
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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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