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General NPI Number Information
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NPI Number | 1083779102
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Entity Type | Organization
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Legal Business Name | A STREET CLINIC OF CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1020 A ST SE SUITE 4
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City | AUBURN
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State | WA
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Zip | 98002-6063
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Country | US
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Telephone | 253-939-0909
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Fax | 253-939-1813
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Provider Business Mailing Address
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Address Line | 1020 A ST SE SUITE 4
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City | AUBURN
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State | WA
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Zip | 98002-6063
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Country | US
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Telephone | 253-939-0909
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Fax | 253-939-1813
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | DR. DONALD WAYNE OLSON
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Credential | D.C.
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Telephone | 253-939-0909
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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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