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General NPI Number Information
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NPI Number | 1336283662
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Entity Type | Organization
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Legal Business Name | WEST PLAINS CHIROPRACTIC, PS
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12727 W 14TH AVE
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City | AIRWAY HEIGHTS
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State | WA
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Zip | 99001-9409
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Country | US
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Telephone | 509-244-4818
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Fax | 509-244-8945
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Provider Business Mailing Address
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Address Line | PO BOX 863
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City | AIRWAY HEIGHTS
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State | WA
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Zip | 99001-0863
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Country | US
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Telephone | 509-244-4818
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Fax | 509-244-8945
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEITH E SCHULZ
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Credential | DC
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Telephone | 509-244-4818
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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 | CH00002357
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License Number State | WA
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