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General NPI Number Information
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NPI Number | 1619144565
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Entity Type | Organization
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Legal Business Name | EARLY DAWN ENTERPRISES INC.
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 2320 130TH AVE NE STE 210
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City | BELLEVUE
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State | WA
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Zip | 98005-1752
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Country | US
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Telephone | 425-635-0495
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Fax | 425-289-0140
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Provider Business Mailing Address
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Address Line | 1940 116TH AVE NE STE 101
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City | BELLEVUE
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State | WA
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Zip | 98004-3011
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Country | US
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Telephone | 425-635-0495
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Fax | 425-289-0140
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL JON WEIR
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Credential | D.C.
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Telephone | 425-635-0495
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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 | CH00034462
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License Number State | WA
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