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General NPI Number Information
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NPI Number | 1952446577
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Entity Type | Organization
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Legal Business Name | ROSS CHIROPRACTIC, PLC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 12/10/2009
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Provider Practice Location Address
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Address Line | 35927 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-2204
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Country | US
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Telephone | 734-467-3830
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Fax | 734-467-3836
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Provider Business Mailing Address
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Address Line | 35927 FORD RD
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City | WESTLAND
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State | MI
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Zip | 48185-2204
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Country | US
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Telephone | 734-467-3830
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Fax | 734-467-3836
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Authorized Official
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Title or Position | MEMBER
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Name | DR. GARY L ROSS
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Credential | D.C.
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Telephone | 734-467-3830
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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 | 2301004647
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License Number State | MI
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