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General NPI Number Information
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NPI Number | 1982671012
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Entity Type | Individual
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Provider Name | TIMOTHY JOHN TERSIGNI D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 746 S GRAND ST
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City | FOWLERVILLE
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State | MI
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Zip | 48836-8901
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Country | US
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Telephone | 517-223-9276
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Fax | 517-223-9278
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Provider Business Mailing Address
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Address Line | PO BOX 1126
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City | FOWLERVILLE
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State | MI
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Zip | 48836-1126
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Country | US
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Telephone | 517-223-9276
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Fax | 517-223-9278
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | 2301008012
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 2301008012
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 111NR0200X
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Taxonomy Name | Radiology Chiropractor
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License Number | 2301008012
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301008012
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License Number State | MI
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