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General NPI Number Information
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NPI Number | 1568440832
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Entity Type | Individual
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Provider Name | JERRY ALAN PORTER CHIROPRACTOR
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Gender | Male
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 08/15/2007
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Provider Practice Location Address
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Address Line | 3026 S GRAND BLVD
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City | SPOKANE
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State | WA
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Zip | 99203-2560
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Country | US
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Telephone | 509-535-1530
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Fax | 509-533-5325
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Provider Business Mailing Address
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Address Line | 3026 S GRAND BLVD
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City | SPOKANE
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State | WA
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Zip | 99203-2560
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Country | US
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Telephone | 509-535-1530
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Fax | 509-533-5325
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH00001716
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License Number State | WA
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