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General NPI Number Information
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NPI Number | 1356692784
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Entity Type | Organization
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Legal Business Name | REDFIELD CHIROPRACTIC CENTER, P.S.
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 1532 W SYLVESTER ST
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City | PASCO
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State | WA
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Zip | 99301-4844
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Country | US
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Telephone | 509-547-4391
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Fax | 509-543-6855
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Provider Business Mailing Address
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Address Line | 1532 W SYLVESTER ST
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City | PASCO
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State | WA
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Zip | 99301-4844
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Country | US
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Telephone | 509-547-4391
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Fax | 509-543-6855
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS C REDFIELD
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Credential | D.C.
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Telephone | 509-547-4391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | CH00000769
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License Number State | WA
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