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General NPI Number Information
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NPI Number | 1194844621
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Entity Type | Organization
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Legal Business Name | ONTRAK CHIROPRACTIC, PS
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 23040 PACIFIC HWY S STE 100
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City | DES MOINES
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State | WA
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Zip | 98198-7268
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Country | US
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Telephone | 253-848-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 13636 SE 297TH ST
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City | AUBURN
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State | WA
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Zip | 98092-2109
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Country | US
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Telephone | 253-848-3300
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Fax |
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Authorized Official
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Title or Position | DC
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Name | DR. ALAN SINNER
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Credential | DC
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Telephone | 253-848-3300
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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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