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Individual
TARA FEDDES
Active
Individual
TARA FEDDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012468
IL
111N00000X
Chiropractor
2301009438
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4935415
—
MI
01
—
950F325610
B/C B/S
MI
Enumeration date
02/29/2008
Last updated
11/27/2023
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