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General NPI Number Information
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NPI Number | 1346545829
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Entity Type | Organization
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Legal Business Name | DOYLE & ASSOCIATES CHIROPRACTIC CLINIC INC PS
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Dates
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Enumeration Date | 01/14/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 603 CHESTER AVENUE
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City | BREMERTON
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State | WA
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Zip | 98337
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Country | US
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Telephone | 360-377-0012
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Fax | 360-405-0938
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Provider Business Mailing Address
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Address Line | 603 CHESTER AVENUE
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City | BREMERTON
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State | WA
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Zip | 98337
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Country | US
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Telephone | 360-377-0012
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Fax | 360-405-0938
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L CORLEY SR.
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Credential | D,C.
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Telephone | 360-377-0012
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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 | 252-02-0001958
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License Number State | WA
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