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General NPI Number Information
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NPI Number | 1285183830
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Entity Type | Organization
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Legal Business Name | CARRIER CHIROPRACTIC
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3653 NW JOHN OLSEN PL
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City | HILLSBORO
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State | OR
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Zip | 97124-5815
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Country | US
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Telephone | 503-726-7260
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Fax |
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Provider Business Mailing Address
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Address Line | 3653 NW JOHN OLSEN PL
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City | HILLSBORO
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State | OR
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Zip | 97124-5815
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Country | US
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Telephone | 503-726-7260
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SCOTT CARRIER
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Credential | DC
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Telephone | 503-726-7260
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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 | 3801
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License Number State | OR
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