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General NPI Number Information
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NPI Number | 1255089314
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Entity Type | Organization
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Legal Business Name | ATTUNED VITALITY CO
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 230 NE 2ND AVE STE 1
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City | HILLSBORO
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State | OR
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Zip | 97124-3074
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Country | US
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Telephone | 503-640-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 230 NE 2ND AVE STE 1
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City | HILLSBORO
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State | OR
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Zip | 97124-3074
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Country | US
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Telephone | 503-640-2800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WENDY BRACKEEN
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Credential | DC
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Telephone | 503-507-5749
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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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