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General NPI Number Information
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NPI Number | 1225458524
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Entity Type | Organization
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Legal Business Name | JOURNEY THROUGH HEALING CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 04/24/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 830 SAGINAW ST S
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City | SALEM
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State | OR
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Zip | 97302-4122
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Country | US
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Telephone | 503-480-0200
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Fax | 503-480-0203
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Provider Business Mailing Address
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Address Line | 830 SAGINAW ST S
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City | SALEM
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State | OR
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Zip | 97302-4122
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Country | US
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Telephone | 503-480-0200
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Fax | 503-480-0203
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Authorized Official
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Title or Position | MANAGER
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Name | LAURIE A HUBBELL-SMITH
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Credential | DC
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Telephone | 503-480-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | 3950
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License Number State | OR
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