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General NPI Number Information
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NPI Number | 1295054849
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Entity Type | Organization
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Legal Business Name | LIVING OAP, PLLC
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Dates
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Enumeration Date | 05/21/2010
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 7267 MARTIN WAY E
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City | OLYMPIA
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State | WA
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Zip | 98516-5534
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Country | US
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Telephone | 360-438-9609
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Fax |
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Provider Business Mailing Address
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Address Line | 7267 MARTIN WAY E
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City | OLYMPIA
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State | WA
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Zip | 98516-5534
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Country | US
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Telephone | 360-438-9609
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Fax |
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | DR. JASON AARON PASSEY
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Credential | DC
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Telephone | 425-647-0482
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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 | CH00034866
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License Number State | WA
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