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General NPI Number Information
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NPI Number | 1932703048
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Entity Type | Organization
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Legal Business Name | GREGG CHIROPRACTIC TROY, P.C.
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 12/11/2020
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Provider Practice Location Address
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Address Line | 215 E BIG BEAVER RD STE 400
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City | TROY
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State | MI
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Zip | 48083-1216
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Country | US
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Telephone | 248-435-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E BIG BEAVER RD STE 400
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City | TROY
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State | MI
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Zip | 48083-1216
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Country | US
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Telephone | 248-435-0925
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MEGAN GREGG
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Credential |
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Telephone | 248-435-0925
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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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