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General NPI Number Information
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NPI Number | 1437275153
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Entity Type | Organization
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Legal Business Name | BACK WORKS UNLTD INC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 10/12/2007
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Provider Practice Location Address
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Address Line | 1000 W STEUBEN ST
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City | BINGEN
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State | WA
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Zip | 98605
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Country | US
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Telephone | 509-493-2882
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Fax | 509-493-2882
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Provider Business Mailing Address
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Address Line | 2149 CASCADE AVE STE 208
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City | HOOD RIVER
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State | OR
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Zip | 97031-1087
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Country | US
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Telephone | 509-493-2882
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Fax | 509-493-2882
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL E HOLMAN
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Credential | DC
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Telephone | 509-493-2882
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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 |
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License Number State |
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