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General NPI Number Information
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NPI Number | 1609613124
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Entity Type | Individual
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Provider Name | PAPHAWEE CHUNGTRAKOOL DC
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Gender | Female
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Dates
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Enumeration Date | 07/11/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 5901 ROOSEVELT WAY NE STE 101A
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City | SEATTLE
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State | WA
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Zip | 98105-2763
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Country | US
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Telephone | 206-525-5664
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Fax |
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Provider Business Mailing Address
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Address Line | 22020 NE 147TH ST
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City | BRUSH PRAIRIE
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State | WA
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Zip | 98606-5501
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Country | US
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Telephone | 360-947-4005
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Fax |
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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 | CH61579259
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License Number State | WA
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