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General NPI Number Information
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NPI Number | 1407149966
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Entity Type | Organization
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Legal Business Name | HARPER CHIROPRACTIC CLINIC, INC.
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Dates
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Enumeration Date | 05/17/2011
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Last Update Date | 05/17/2011
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Provider Practice Location Address
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Address Line | 10620 HIGHWAY 12
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City | OROFINO
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State | ID
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Zip | 83544-9372
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Country | US
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Telephone | 208-476-3158
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Fax | 208-476-7818
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Provider Business Mailing Address
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Address Line | PO BOX 1061
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City | OROFINO
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State | ID
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Zip | 83544-1061
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Country | US
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Telephone | 208-476-3158
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Fax | 208-476-7818
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS LEE HARPER
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Credential | D.C., N.D.
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Telephone | 208-476-3158
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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 | CHIA1385
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIA435
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License Number State | ID
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