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General NPI Number Information
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NPI Number | 1275855017
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Entity Type | Organization
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Legal Business Name | AUBURN CHIROPRACTIC CENTER PLLC
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 1428 AUBURN WAY SOUTH
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City | AUBURN
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State | WA
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Zip | 98002-6740
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Country | US
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Telephone | 253-833-3990
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Fax | 253-833-3993
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Provider Business Mailing Address
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Address Line | 1428 AUBURN WAY SOUTH
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City | AUBURN
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State | WA
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Zip | 98002-6740
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Country | US
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Telephone | 253-833-3990
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Fax | 253-833-3993
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MR. CASEY ALAN WILTON
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Credential | DC
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Telephone | 253-833-3990
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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 | CH00034869
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License Number State | WA
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