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General NPI Number Information
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NPI Number | 1013292499
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Entity Type | Organization
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Legal Business Name | HEALING HANDS CLINIC OF NATURAL THERAPIES LLC
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Dates
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Enumeration Date | 10/17/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 960 LIBERTY ST SE STE 170
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City | SALEM
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State | OR
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Zip | 97302-4149
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Country | US
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Telephone | 503-588-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 960 LIBERTY ST SE STE 170
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City | SALEM
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State | OR
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Zip | 97302-4149
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Country | US
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Telephone | 503-588-6633
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. CHRISTIAN ERIC WISSINGER
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Credential | DC
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Telephone | 503-588-6633
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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 | 3490
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License Number State | OR
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