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General NPI Number Information
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NPI Number | 1376798124
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Entity Type | Individual
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Provider Name | DANIEL DROZDOWSKI
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Gender | Male
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 03/31/2009
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Provider Practice Location Address
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Address Line | 5336 SE BUSH ST
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City | PORTLAND
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State | OR
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Zip | 97206-5394
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Country | US
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Telephone | 636-236-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 2923 SE FRANCIS ST APT 2
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City | PORTLAND
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State | OR
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Zip | 97202-3569
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 3908
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License Number State | OR
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