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General NPI Number Information
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NPI Number | 1255534939
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Entity Type | Organization
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Legal Business Name | SHERWOOD FAMILY CHIROPRACTIC, P.S.
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 16810 108TH AVE SE
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City | RENTON
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State | WA
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Zip | 98055-5413
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Country | US
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Telephone | 425-227-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 16810 108TH AVE SE
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City | RENTON
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State | WA
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Zip | 98055-5413
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Country | US
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Telephone | 425-227-0111
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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. KURT SHERWOOD
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Credential | DC
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Telephone | 425-227-0111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2364
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License Number State | WA
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