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General NPI Number Information
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NPI Number | 1063237154
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Entity Type | Individual
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Provider Name | ELENA VASQUEZ DC
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Gender | Female
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 10516 SILVERDALE WAY NW STE 110B
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City | SILVERDALE
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State | WA
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Zip | 98383-8745
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Country | US
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Telephone | 360-633-8888
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Fax | 360-286-2365
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Provider Business Mailing Address
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Address Line | 5160 BORGEN BLVD STE 101
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City | GIG HARBOR
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State | WA
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Zip | 98332-8809
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Country | US
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Telephone | 253-853-4000
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Fax | 253-853-4001
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH61613658
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License Number State | WA
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