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General NPI Number Information
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NPI Number | 1558607127
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Entity Type | Organization
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Legal Business Name | 8TH AVE CHIROPRACTIC AND MASSAGE, LLC
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Dates
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Enumeration Date | 12/29/2012
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 6204 8TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-2270
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Country | US
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Telephone | 206-784-3494
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Fax | 206-789-2088
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Provider Business Mailing Address
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Address Line | 6204 8TH AVE NW
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City | SEATTLE
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State | WA
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Zip | 98107-2270
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Country | US
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Telephone | 206-784-3494
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Fax | 206-789-2088
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DEE HOATS
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Credential |
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Telephone | 206-784-3494
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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 | CH0034506
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License Number State | WA
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