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General NPI Number Information
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NPI Number | 1184877243
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Entity Type | Organization
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Legal Business Name | CLUNES CORPORATION
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Dates
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Enumeration Date | 11/02/2008
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Last Update Date | 11/02/2008
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Provider Practice Location Address
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Address Line | 21810 WILLAMETTE DR
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City | WEST LINN
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State | OR
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Zip | 97068-3256
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Country | US
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Telephone | 503-656-0362
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Fax | 503-656-0182
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Provider Business Mailing Address
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Address Line | 21810 WILLAMETTE DR
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City | WEST LINN
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State | OR
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Zip | 97068-3256
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Country | US
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Telephone | 503-656-0362
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Fax | 503-656-0182
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Authorized Official
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Title or Position | CHIROPRACTOR/PRES
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Name | DR. BRADLEY D. CLUNES
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Credential | D.C.
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Telephone | 503-656-0362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 2314
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License Number State | OR
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