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General NPI Number Information
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NPI Number | 1881714038
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Entity Type | Organization
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Legal Business Name | ZINNEN CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 2100 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-9701
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Country | US
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Telephone | 734-241-4500
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Fax | 734-241-4602
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Provider Business Mailing Address
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Address Line | 2100 S CUSTER RD
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City | MONROE
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State | MI
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Zip | 48161-9701
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Country | US
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Telephone | 734-241-4500
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Fax | 734-241-4602
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JODI LEE ZINNEN-NOWAK
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Credential |
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Telephone | 734-241-4500
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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 | 2301007106
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License Number State | MI
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