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General NPI Number Information
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NPI Number | 1275919060
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Entity Type | Organization
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Legal Business Name | KING PLAZA CHIROPRACTIC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 6951 MARTIN LUTHER KING JR WAY S STE 101
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City | SEATTLE
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State | WA
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Zip | 98118-3545
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Country | US
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Telephone | 206-721-7200
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Fax | 206-339-7200
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Provider Business Mailing Address
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Address Line | 6951 MARTIN LUTHER KING JR WAY S STE 101
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City | SEATTLE
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State | WA
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Zip | 98118-3545
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Country | US
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Telephone | 206-721-7200
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Fax | 206-339-7200
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Authorized Official
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Title or Position | PRESIDENT
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Name | BYONG CHON
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Credential | D.C.
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Telephone | 206-721-7200
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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 | CH 60288517
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License Number State | WA
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