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General NPI Number Information
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NPI Number | 1174701767
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Entity Type | Organization
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Legal Business Name | WILLIAM K. PLEWES
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 238 SE WASHINGTON ST # B
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City | HILLSBORO
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State | OR
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Zip | 97123-4279
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Country | US
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Telephone | 503-648-1088
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Fax | 503-648-0748
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Provider Business Mailing Address
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Address Line | 238 SE WASHINGTON ST # B
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City | HILLSBORO
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State | OR
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Zip | 97123-4279
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Country | US
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Telephone | 503-648-1088
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Fax | 503-648-0748
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM KENNETH PLEWES
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Credential | D.C.
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Telephone | 503-648-1088
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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 | 27-1677
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License Number State | OR
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