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General NPI Number Information
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NPI Number | 1922283365
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Entity Type | Organization
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Legal Business Name | LIFEPOINTE CHIROPRACTIC CENTER, PLC
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Dates
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Enumeration Date | 01/03/2008
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 5896 DIXIE HWY STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-3358
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Country | US
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Telephone | 248-623-6107
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Fax | 248-623-6443
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Provider Business Mailing Address
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Address Line | 5896 DIXIE HWY STE A
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City | CLARKSTON
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State | MI
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Zip | 48346-3358
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Country | US
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Telephone | 248-623-6107
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Fax | 248-623-6443
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA ANN RAMBOER
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Credential | DC
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Telephone | 248-623-6107
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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 | GR008055
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | RR008207
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License Number State | MI
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