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General NPI Number Information
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NPI Number | 1164713368
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Entity Type | Organization
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Legal Business Name | BATTLE GROUND CHIROPRACTIC
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Dates
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Enumeration Date | 04/22/2011
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 819 SE 14TH LOOP STE 125
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4891
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Country | US
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Telephone | 360-687-3181
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Fax | 360-687-1992
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Provider Business Mailing Address
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Address Line | 819 SE 14TH LOOP STE 125
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4891
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Country | US
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Telephone | 360-687-3181
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Fax | 360-687-1992
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. JEFFREY WAYNE STRAPPAZON
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Credential | D.C.
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Telephone | 360-687-3181
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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 | CH00002552
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License Number State | WA
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