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General NPI Number Information
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NPI Number | 1548631393
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Entity Type | Organization
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Legal Business Name | AKITA CHIROPRACTIC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 818 W 6TH ST SUITE 5
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City | THE DALLES
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State | OR
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Zip | 97058-1147
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Country | US
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Telephone | 541-296-1900
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Fax | 541-298-7340
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Provider Business Mailing Address
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Address Line | 818 W 6TH ST SUITE 5
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City | THE DALLES
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State | OR
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Zip | 97058-1147
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY AKITA
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Credential | DC
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Telephone | 541-296-1900
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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 | 5080
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License Number State | OR
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