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General NPI Number Information
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NPI Number | 1891087607
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Entity Type | Organization
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Legal Business Name | UNITED WELLNESS CENTER OF FLINT PLLC
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | G3169 BEECHER RD SUITE 107
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City | FLINT
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State | MI
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Zip | 48532-3611
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Country | US
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Telephone | 810-223-7228
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Fax |
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Provider Business Mailing Address
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Address Line | G3169 BEECHER RD SUITE 107
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City | FLINT
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State | MI
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Zip | 48532-3611
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JAMES VIRGILIO
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Credential |
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Telephone | 248-722-2004
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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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