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General NPI Number Information
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NPI Number | 1073785036
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH CHIROPRACTIC CENTER, INC.
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Dates
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Enumeration Date | 03/31/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 11811 MUKILTEO SPEEDWAY STE 105
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City | MUKILTEO
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State | WA
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Zip | 98275-5442
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Country | US
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Telephone | 425-348-3400
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Fax | 425-710-4030
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Provider Business Mailing Address
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Address Line | 11811 MUKILTEO SPEEDWAY STE 105
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City | MUKILTEO
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State | WA
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Zip | 98275-5442
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Country | US
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Telephone | 425-348-3400
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Fax | 425-710-4030
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Authorized Official
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Title or Position | OWNER
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Name | DR. B SCOTT JONES
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Credential | D.C.
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Telephone | 425-348-3400
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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 | CH00003004
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License Number State | WA
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