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General NPI Number Information
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NPI Number | 1477481133
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Entity Type | Organization
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Legal Business Name | BRADY HEAPS CHIROPRACTIC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 21802 E INDIANA AVE STE 106
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-4006
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Country | US
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Telephone | 509-639-1052
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Fax |
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Provider Business Mailing Address
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Address Line | 21802 E INDIANA AVE STE 106
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-4006
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Country | US
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Telephone | 509-639-1052
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | BRADY HEAPS
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Credential | DC
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Telephone | 801-726-6513
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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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