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General NPI Number Information
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NPI Number | 1952349235
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Entity Type | Organization
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Legal Business Name | CHIROPRACTIC PLUS, P.C.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 0 699 TALLMADGE WDS NW SUITE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49534
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Country | US
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Telephone | 616-791-9702
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Fax | 616-791-4661
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Provider Business Mailing Address
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Address Line | 0 699 TALLMADGE WDS NW SUITE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49534
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Country | US
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Telephone | 616-791-9702
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Fax | 616-791-4661
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL J OHLMAN
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Credential | D.C.
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Telephone | 616-791-9702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2301004871
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License Number State | MI
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