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General NPI Number Information
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NPI Number | 1891948212
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Entity Type | Organization
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Legal Business Name | HEALTH FOR LIFE CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 10/29/2008
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 43059 7 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-2279
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Country | US
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Telephone | 586-945-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 43145 7 MILE RD
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City | NORTHVILLE
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State | MI
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Zip | 48167-2279
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Country | US
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Telephone | 248-449-1630
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Fax | 248-449-1558
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Authorized Official
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Title or Position | CHIROPRACTOR/ MANAGER
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Name | DR. RYAN C COOPER
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Credential | D.C.
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Telephone | 248-449-1630
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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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