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General NPI Number Information
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NPI Number | 1407037831
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Entity Type | Organization
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Legal Business Name | MARS HILL HEALTH INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/14/2007
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Provider Practice Location Address
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Address Line | 25854 108TH AVE SE
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City | KENT
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State | WA
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Zip | 98030-7737
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Country | US
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Telephone | 253-852-2828
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Fax | 253-852-2830
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Provider Business Mailing Address
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Address Line | 25854 108TH AVE SE
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City | KENT
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State | WA
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Zip | 98030-7737
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Country | US
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Telephone | 253-852-2828
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Fax | 253-852-2830
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KURT PETER EBY
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Credential | D.C.
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Telephone | 253-852-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number |
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License Number State |
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