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General NPI Number Information
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NPI Number | 1306913967
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Entity Type | Individual
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Provider Name | JODY ANN SCHWEYEN D.C.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 719 S LAUREL ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-6020
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Country | US
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Telephone | 360-582-9087
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | PORT ANGELES
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State | WA
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Zip | 98362-0006
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Country | US
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Telephone | 360-582-9087
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH00033798
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License Number State | WA
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