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General NPI Number Information
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NPI Number | 1629257696
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Entity Type | Organization
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Legal Business Name | SOUTH TACOMA CHIROPRACTIC AND REHABILITATION, PLLC
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Dates
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Enumeration Date | 10/26/2007
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 8833 PACIFIC AVE STE C
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City | TACOMA
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State | WA
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Zip | 98444-6490
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Country | US
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Telephone | 253-531-1000
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Fax | 253-531-0967
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Provider Business Mailing Address
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Address Line | 8833 PACIFIC AVE STE C
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City | TACOMA
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State | WA
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Zip | 98444-6490
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Country | US
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Telephone | 253-531-1000
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Fax | 253-531-0967
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Authorized Official
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Title or Position | OWNER
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Name | ARIC M TURRUBIATE
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Credential | D.C.
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Telephone | 253-531-1000
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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 | CH00034751
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License Number State | WA
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