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General NPI Number Information
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NPI Number | 1447673983
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Entity Type | Individual
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Provider Name | BRENDAN IRWIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 05/06/2017
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Provider Practice Location Address
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Address Line | 3324 S GRAND BLVD
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City | SPOKANE
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State | WA
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Zip | 99203-2619
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Country | US
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Telephone | 509-838-7973
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Fax |
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Provider Business Mailing Address
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Address Line | 3324 S GRAND BLVD
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City | SPOKANE
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State | WA
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Zip | 99203-2619
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Country | US
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Telephone | 509-838-7973
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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 | CHI 1584
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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 | CH60742216
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License Number State | WA
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