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General NPI Number Information
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NPI Number | 1578595179
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Entity Type | Organization
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Legal Business Name | ACCIDENT & INJURY CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 1702 S 72ND ST SUITE A
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City | TACOMA
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State | WA
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Zip | 98408-1238
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Country | US
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Telephone | 253-474-0677
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Fax | 253-474-3540
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Provider Business Mailing Address
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Address Line | 1702 S 72ND ST SUITE A
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City | TACOMA
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State | WA
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Zip | 98408-1238
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Country | US
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Telephone | 253-474-0677
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Fax | 253-474-3540
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOEL D VRANNA
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Credential | DC
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Telephone | 253-474-0677
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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 | 602010653
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License Number State | WA
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