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General NPI Number Information
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NPI Number | 1124267943
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Entity Type | Organization
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Legal Business Name | ART AND SCIENCE CHIROPRACTIC CENTER
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 8606 N WALL ST
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City | SPOKANE
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State | WA
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Zip | 99218-2034
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Country | US
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Telephone | 509-487-2074
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Fax | 208-686-5238
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Provider Business Mailing Address
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Address Line | PO BOX 1709
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City | VERADALE
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State | WA
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Zip | 99037-1709
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Country | US
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Telephone | 509-487-2074
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Fax | 208-686-5238
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | LYNNA LIES
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Credential | DC
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Telephone | 509-487-2074
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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 | CH60058655
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License Number State | WA
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