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General NPI Number Information
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NPI Number | 1346555810
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Entity Type | Organization
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Legal Business Name | SCHWEYEN CHIROPRACTIC, P.S.
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Dates
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Enumeration Date | 08/09/2010
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Last Update Date | 08/09/2010
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Provider Practice Location Address
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Address Line | 719 S LAUREL ST
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City | PORT ANGELES
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State | WA
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Zip | 98362-6020
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Country | US
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Telephone | 360-457-6805
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37
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City | PORT ANGELES
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State | WA
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Zip | 98362-0006
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Country | US
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Telephone | 360-457-6805
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JODY A SCHWEYEN
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Credential | D.C.
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Telephone | 360-457-6805
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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 | CH 00033798
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License Number State | WA
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