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General NPI Number Information
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NPI Number | 1316591993
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Entity Type | Organization
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Legal Business Name | NU-LIFE WELLNESS CENTER
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Dates
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Enumeration Date | 07/31/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 14 NE GRACE AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-8259
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Country | US
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Telephone | 360-687-5163
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 987
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City | BATTLE GROUND
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State | WA
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Zip | 98604-0987
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Country | US
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Telephone | 360-687-5163
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Fax | 360-687-5165
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Authorized Official
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Title or Position | DC
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Name | KAREN STEVENS-BARNES
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Credential |
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Telephone | 360-687-5163
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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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