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NPI 1649643198

NPI 1649643198 : EVERYTHING SPINE INC. : BELLEVUE, WA

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General NPI Number Information
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    NPI Number           |    1649643198
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    Entity Type          |    Organization 
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    Legal Business Name  |    EVERYTHING SPINE INC. 
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Dates
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    Enumeration Date     |    11/05/2015
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    Last Update Date     |    11/05/2015
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Provider Practice Location Address
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    Address Line         |    13333 BEL RED RD SUITE 210
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98005-2332
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    Country              |    US
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    Telephone            |    425-333-8111
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    Fax                  |    425-533-2386
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Provider Business Mailing Address
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    Address Line         |    13333 BEL RED RD SUITE 210
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    City                 |    BELLEVUE
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    State                |    WA
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    Zip                  |    98005-2332
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    Country              |    US
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    Telephone            |    
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    Fax                  |    425-533-2386
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Authorized Official
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    Title or Position    |    PRESIDENT/CHIROPRACTOR
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    Name                 |     ANGELA  AHLUWALIA 
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    Credential           |    DC
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    Telephone            |    425-333-8111
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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       |    CH00034250
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    License Number State |    WA
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