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General NPI Number Information
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NPI Number | 1295006518
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Entity Type | Organization
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Legal Business Name | JAMIE J SMITH CHIROPRACTIC INC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 9384 DESCHUTES RD STE E
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City | PALO CEDRO
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State | CA
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Zip | 96073-8754
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Country | US
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Telephone | 530-547-3787
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Fax | 530-547-4979
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Provider Business Mailing Address
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Address Line | 9384 DESCHUTES RD STE E
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City | PALO CEDRO
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State | CA
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Zip | 96073-8754
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Country | US
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Telephone | 530-547-3787
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Fax | 530-547-4979
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JAMIE J SMITH
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Credential | R.N., D.C.
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Telephone | 530-547-3787
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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 | DC22243
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License Number State | CA
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