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General NPI Number Information
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NPI Number | 1043396740
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Entity Type | Organization
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Legal Business Name | FAMILY CHIROPRACTIC HEALTH CLINIC, INC. P.S.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4346 15TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-1446
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Country | US
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Telephone | 206-763-0600
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Fax | 206-763-0601
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Provider Business Mailing Address
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Address Line | 4346 15TH AVE S
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City | SEATTLE
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State | WA
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Zip | 98108-1446
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Country | US
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Telephone | 206-763-0600
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Fax | 206-763-0601
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS C TSE
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Credential | D.C.
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Telephone | 206-763-0600
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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 | CH00002573
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License Number State | WA
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