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General NPI Number Information
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NPI Number | 1326060260
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Entity Type | Individual
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Provider Name | ANDREW P ROSSER D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/23/2006
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 1711 5TH AVE SE
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City | OLYMPIA
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State | WA
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Zip | 98501-1801
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Country | US
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Telephone | 360-754-6499
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Fax | 360-754-4953
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Provider Business Mailing Address
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Address Line | 705 4TH AVE EAST
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City | OLYMPIA
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State | WA
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Zip | 98506-3929
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Country | US
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Telephone | 360-754-6499
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Fax | 360-754-4953
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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 | 247200000X
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Taxonomy Name | Other Technician
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License Number | CM34140
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CM34140
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License Number State | WA
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