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General NPI Number Information
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NPI Number | 1255697603
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTH PS
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 15935 NE 8TH ST SUITE A101
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City | BELLEVUE
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State | WA
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Zip | 98008-3918
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Country | US
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Telephone | 425-644-5556
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Fax | 425-664-3174
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Provider Business Mailing Address
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Address Line | 13742 97TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-1874
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Country | US
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Telephone | 425-644-5556
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Fax | 425-664-3174
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Authorized Official
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Title or Position | PRESIDENT/CHIROPRACTOR
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Name | DR. ROBERT BRAD ULRICH
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Credential | D.C.
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Telephone | 425-644-5556
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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 | WA
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