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General NPI Number Information
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NPI Number | 1497774897
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Entity Type | Individual
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Provider Name | BRYSON JOHN LANGEL D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/18/2006
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 2703 CAPITOL MALL DR SW SUITE 103
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City | OLYMPIA
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State | WA
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Zip | 98502-5097
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Country | US
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Telephone | 360-352-9912
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Fax | 360-352-9913
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Provider Business Mailing Address
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Address Line | PO BOX 13035
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City | OLYMPIA
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State | WA
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Zip | 98508-3035
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Country | US
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Telephone | 360-352-9912
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Fax | 360-352-9913
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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 | CH00034157
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License Number State | WA
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