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General NPI Number Information
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NPI Number | 1548451289
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Entity Type | Organization
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Legal Business Name | BOND TOTAL HEALTHCARE PC
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/09/2007
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Provider Practice Location Address
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Address Line | 1002 SPRING AVE SUITE 1
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City | LA GRANDE
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State | OR
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Zip | 97850-2518
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Country | US
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Telephone | 541-963-5466
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Fax | 541-963-7606
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Provider Business Mailing Address
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Address Line | 1002 SPRING AVE SUITE 1
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City | LA GRANDE
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State | OR
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Zip | 97850-2518
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Country | US
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Telephone | 541-963-5466
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Fax | 541-963-7606
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. WILLIAM CHARLES BOND
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Credential | DC
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Telephone | 541-963-5466
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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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