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General NPI Number Information
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NPI Number | 1144145376
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Entity Type | Organization
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Legal Business Name | PUYALLUP SPINE AND INJURY CENTER
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 1410 S MERIDIAN STE A
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City | PUYALLUP
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State | WA
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Zip | 98371-6902
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Country | US
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Telephone | 253-841-4425
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Fax | 253-445-5712
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Provider Business Mailing Address
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Address Line | 4437 185TH AVE E
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City | LAKE TAPPS
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State | WA
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Zip | 98391-9112
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Country | US
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Telephone | 253-841-4425
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Fax | 253-445-5712
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Authorized Official
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Title or Position | DC
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Name | PHILLIP KRISS
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Credential |
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Telephone | 253-841-4425
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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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