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General NPI Number Information
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NPI Number | 1245129493
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Entity Type | Organization
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Legal Business Name | MERIDIAN CHIROPRACTIC AND WELLNESS CENTER LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 14207 MERIDIAN E STE 100
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City | PUYALLUP
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State | WA
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Zip | 98373-2414
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Country | US
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Telephone | 480-743-1409
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Fax |
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Provider Business Mailing Address
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Address Line | 14207 MERIDIAN E STE 100
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City | PUYALLUP
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State | WA
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Zip | 98373-2414
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Country | US
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Telephone | 480-743-1409
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | ANITA WALIA
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Credential |
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Telephone | 480-743-1409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #4
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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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