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General NPI Number Information
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NPI Number | 1205971835
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Entity Type | Organization
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Legal Business Name | METCALF CHIROPRACTIC HEALTH CENTER, INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 15435 MAIN ST NE SUITE 101
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City | DUVALL
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State | WA
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Zip | 98019-8576
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Country | US
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Telephone | 425-844-6428
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Fax | 425-788-7824
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Provider Business Mailing Address
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Address Line | PO BOX 507
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City | DUVALL
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State | WA
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Zip | 98019-0507
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Country | US
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Telephone | 425-844-6428
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Fax | 425-788-7824
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Authorized Official
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Title or Position | OWNER, CHIROPRACTOR
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Name | DR. JEFFREY PAUL METCALF
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Credential | DC
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Telephone | 425-844-6428
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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 | CH00033861
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License Number State | WA
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