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General NPI Number Information
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NPI Number | 1063784064
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Entity Type | Organization
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Legal Business Name | JOHNSON CHIROPRACTIC CLINIC PS INC
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Dates
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Enumeration Date | 02/06/2012
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 3721 KITSAP WAY STE 8
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City | BREMERTON
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State | WA
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Zip | 98312-2461
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Country | US
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Telephone | 360-377-3751
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Fax | 360-377-3752
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Provider Business Mailing Address
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Address Line | 3721 KITSAP WAY STE 8
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City | BREMERTON
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State | WA
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Zip | 98312-2461
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Country | US
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Telephone | 360-377-3751
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Fax | 360-377-3752
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL KENNETH PATTERSON
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Credential | DC
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Telephone | 360-377-3751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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