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General NPI Number Information
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NPI Number | 1992973630
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Entity Type | Organization
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Legal Business Name | ROD E. DROUSE D.C., P.C.
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 210 NORTH MAIN ST
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City | EVART
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State | MI
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Zip | 49631-1162
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Country | US
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Telephone | 231-734-2791
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Fax | 231-734-6962
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Provider Business Mailing Address
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Address Line | PO BOX 1162
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City | EVART
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State | MI
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Zip | 49631-1162
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Country | US
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Telephone | 231-734-2791
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Fax | 231-734-6962
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RODNEY EDWIN DROUSE
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Credential | D.C.
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Telephone | 231-734-2791
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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 | RD006119
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License Number State | MI
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