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General NPI Number Information
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NPI Number | 1386978070
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Entity Type | Organization
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Legal Business Name | A.A. CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 09/28/2009
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Provider Practice Location Address
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Address Line | 3270 MARKET ST NE
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City | SALEM
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State | OR
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Zip | 97301-1815
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Country | US
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Telephone | 503-364-9910
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Fax | 503-375-3897
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Provider Business Mailing Address
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Address Line | 3270 MARKET ST NE
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City | SALEM
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State | OR
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Zip | 97301-1815
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Country | US
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Telephone | 503-364-9910
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Fax | 503-375-3897
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Authorized Official
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Title or Position | OWNER/CEO
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Name | BRIAN R STEARNS
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Credential | D.C.
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Telephone | 503-364-9910
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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 | 1936
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License Number State | OR
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