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General NPI Number Information
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NPI Number | 1891419263
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Entity Type | Organization
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Legal Business Name | NEURODC LLC
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Dates
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Enumeration Date | 09/29/2022
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 8152 N 32ND ST STE C
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City | RICHLAND
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State | MI
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Zip | 49083-8500
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Country | US
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Telephone | 269-267-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 8152 N 32ND ST STE C
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City | RICHLAND
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State | MI
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Zip | 49083-8500
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Country | US
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Telephone | 269-267-8459
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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. JEFFREY KURTZ
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Credential | DC
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Telephone | 269-350-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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Taxonomy #4
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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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