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General NPI Number Information
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NPI Number | 1982429908
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Entity Type | Organization
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Legal Business Name | PIVOTAL INTEGRATIVE MEDICINE PLLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 5413 WHITTAKER RD
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City | YPSILANTI
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State | MI
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Zip | 48197-9751
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Country | US
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Telephone | 731-961-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 5413 WHITTAKER RD
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City | YPSILANTI
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State | MI
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Zip | 48197-9751
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Country | US
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Telephone | 731-961-9977
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATARZYNA KRUGER
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Credential | DC
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Telephone | 734-961-9977
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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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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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