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General NPI Number Information
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NPI Number | 1245782424
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Entity Type | Organization
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Legal Business Name | ACCIDENT CARE CHIROPRACTIC AND MASSAGE OF HILLSBORO
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 110 NE 10TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-3333
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Country | US
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Telephone | 503-547-1999
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Fax | 503-547-1988
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Provider Business Mailing Address
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Address Line | 110 NE 10TH AVE
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City | HILLSBORO
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State | OR
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Zip | 97124-3333
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Country | US
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Telephone | 503-547-1999
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Fax | 503-547-1988
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. MONICA RUIZ
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Credential |
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Telephone | 503-547-1999
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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 | 5157
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License Number State | OR
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