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General NPI Number Information
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NPI Number | 1467502641
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Entity Type | Organization
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Legal Business Name | ALEX C PLUM DC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5060 STATE HIGHWAY 303 NE STE 103
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City | BREMERTON
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State | WA
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Zip | 98311-3634
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Country | US
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Telephone | 360-377-6335
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Fax | 360-377-6401
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Provider Business Mailing Address
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Address Line | 5060 STATE HIGHWAY 303 NE STE 103
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City | BREMERTON
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State | WA
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Zip | 98311-3634
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Country | US
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Telephone | 360-377-6335
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Fax | 360-377-6401
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. ALEX CARLTON PLUM
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Credential | DC
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Telephone | 360-377-6335
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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 | 2514
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License Number State | WA
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