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General NPI Number Information
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NPI Number | 1518522549
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Entity Type | Organization
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Legal Business Name | PALMERCARE CHIROPRACTIC WASHINGTON
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 1140 CONNECTICUT AVE NW STE 950
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City | WASHINGTON
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State | DC
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Zip | 20036-4031
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Country | US
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Telephone | 202-828-8303
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Fax | 202-828-8305
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Provider Business Mailing Address
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Address Line | 1140 CONNECTICUT AVE NW STE 950
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City | WASHINGTON
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State | DC
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Zip | 20036-4031
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Country | US
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Telephone | 202-828-8303
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Fax | 202-828-8305
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Authorized Official
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Title or Position | CFO
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Name | CASEY HOLM
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Credential |
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Telephone | 713-829-7506
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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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