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NPI 1063570539

NPI 1063570539 : MARSH CHIROPRACTIC, PS : RENTON, WA

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General NPI Number Information
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    NPI Number           |    1063570539
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARSH CHIROPRACTIC, PS 
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Dates
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    Enumeration Date     |    12/05/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    19201 108TH AVE SE #101
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98055-7379
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    Country              |    US
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    Telephone            |    253-859-6441
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    Fax                  |    253-859-9437
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Provider Business Mailing Address
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    Address Line         |    19201 108TH AVE SE #101
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    City                 |    RENTON
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    State                |    WA
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    Zip                  |    98055-7379
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    Country              |    US
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    Telephone            |    253-859-6441
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    Fax                  |    253-859-9437
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. PATRICIA DIANE MARSH 
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    Credential           |    D.C.
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    Telephone            |    253-859-6441
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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