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General NPI Number Information
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NPI Number | 1265632038
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Entity Type | Organization
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Legal Business Name | VALLEY CHIROPRACTIC CARE LLC
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 207 S MOLALLA AVE
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City | MOLALLA
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State | OR
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Zip | 97038
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Country | US
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Telephone | 503-829-2662
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Fax | 503-829-2663
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Provider Business Mailing Address
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Address Line | PO BOX 520
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City | MOLALLA
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State | OR
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Zip | 97038-0520
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Country | US
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Telephone | 503-829-2662
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Fax | 503-829-2663
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Authorized Official
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Title or Position | OFFICER
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Name | DR. SABRINA MARIE FROLOV
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Credential | D.C,
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Telephone | 503-829-2662
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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 | OR
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