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General NPI Number Information
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NPI Number | 1316146319
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Entity Type | Organization
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Legal Business Name | SEAHURST CHIROPRACTIC CLINIC INC.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 120 SW 160TH ST
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City | BURIEN
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State | WA
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Zip | 98166-3025
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Country | US
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Telephone | 206-242-8211
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Fax | 206-242-0162
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Provider Business Mailing Address
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Address Line | 120 SW 160TH ST
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City | BURIEN
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State | WA
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Zip | 98166-3025
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Country | US
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Telephone | 206-242-8211
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Fax | 206-242-0162
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DORON SAUL KANTOR
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Credential | D.C.
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Telephone | 360-659-6554
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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 |
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License Number State |
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