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General NPI Number Information
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NPI Number | 1558166157
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Entity Type | Organization
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Legal Business Name | ROXBURY SPINE AND WELLNESS CLINIC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 2656 SW ROXBURY ST
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City | SEATTLE
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State | WA
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Zip | 98126-4177
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Country | US
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Telephone | 206-937-2000
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Fax | 206-937-4643
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Provider Business Mailing Address
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Address Line | 2656 SW ROXBURY ST
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City | SEATTLE
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State | WA
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Zip | 98126-4177
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Country | US
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Telephone | 206-937-2000
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Fax | 206-937-4643
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | LAWRENCE A CLAYMAN
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Credential | DC
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Telephone | 206-898-9202
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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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