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General NPI Number Information
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NPI Number | 1104942291
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Entity Type | Organization
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Legal Business Name | JEX CHIROPRACTIC HEALTH CENTER PS
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 533 S 336TH ST STE A
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6329
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Country | US
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Telephone | 253-838-1080
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Fax | 253-838-2551
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Provider Business Mailing Address
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Address Line | 533 S 336TH ST STE A
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6329
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Country | US
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Telephone | 253-838-1080
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Fax | 253-838-2551
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KIMBERLY MARIE PIERCE
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Credential |
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Telephone | 253-838-1080
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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 | CH00002293
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License Number State | WA
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