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General NPI Number Information
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NPI Number | 1477092351
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD CHIROPRACTIC AND ACUPUNCTURE LLC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 6040 SE BELMONT ST SUITE 1230
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City | PORTLAND
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State | OR
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Zip | 97215-1974
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Country | US
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Telephone | 503-236-8701
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Fax | 503-236-8710
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Provider Business Mailing Address
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Address Line | 6040 SE BELMONT ST SUITE 1230
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City | PORTLAND
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State | OR
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Zip | 97215-1974
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Country | US
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Telephone | 503-236-8701
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Fax | 503-236-8710
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Authorized Official
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Title or Position | OWNER
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Name | ALLIE RENE DASHIELL
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Credential | DC
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Telephone | 503-236-8701
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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 | 5503
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License Number State | OR
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