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General NPI Number Information
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NPI Number | 1376683490
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Entity Type | Organization
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Legal Business Name | RAM DC INC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/10/2007
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Provider Practice Location Address
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Address Line | 21 W COMMERCE DR SUITE B
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City | HAYDEN
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State | ID
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Zip | 83835-9289
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Country | US
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Telephone | 208-772-4545
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Fax | 208-772-4550
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Provider Business Mailing Address
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Address Line | 21 W COMMERCE DR SUITE B
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City | HAYDEN
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State | ID
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Zip | 83835-9289
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Country | US
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Telephone | 208-772-4545
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Fax | 208-772-4550
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROBERT ALAN MEYER
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Credential | D.C.
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Telephone | 208-772-4545
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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 | CHIA 1154
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License Number State | ID
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