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General NPI Number Information
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NPI Number | 1972258762
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Entity Type | Organization
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Legal Business Name | COLLECTIVE CULTURE HEALTH & CHIROPRACTIC
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Dates
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Enumeration Date | 02/20/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 2035 HOGBACK RD STE 204
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City | ANN ARBOR
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State | MI
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Zip | 48105-9488
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Country | US
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Telephone | 734-330-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 2627 FLEETWOOD DR
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City | PORTAGE
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State | MI
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Zip | 49024-5609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHRISTINA VIOLANTE
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Credential | DC
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Telephone | 269-779-0188
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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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