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General NPI Number Information
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NPI Number | 1184998593
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Entity Type | Organization
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Legal Business Name | ZYNERGY CHIROPRACTIC
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Dates
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Enumeration Date | 03/02/2012
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Last Update Date | 03/02/2012
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Provider Practice Location Address
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Address Line | 15616 BEL-RED RD
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City | BELLEVUE
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State | WA
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Zip | 98008
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Country | US
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Telephone | 425-883-0133
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Fax |
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Provider Business Mailing Address
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Address Line | 15616 BEL-RED RD
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City | BELLEVUE
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State | WA
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Zip | 98008
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Country | US
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Telephone | 425-883-0133
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. SARAH NOWINSKI
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Credential | D.C.
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Telephone | 425-883-0133
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number | CH00034777
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License Number State | WA
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