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General NPI Number Information
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NPI Number | 1669599718
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Entity Type | Organization
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Legal Business Name | BUCHANAN CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 17224 SE 272ND ST
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City | COVINGTON
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State | WA
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Zip | 98042-4953
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Country | US
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Telephone | 253-639-8540
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Fax | 253-639-8542
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Provider Business Mailing Address
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Address Line | 17224 SE 272ND ST
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City | COVINGTON
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State | WA
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Zip | 98042-4953
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Country | US
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Telephone | 253-639-8540
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Fax | 253-639-8542
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. GLENN A BUCHANAN
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Credential | D.O.
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Telephone | 253-639-8540
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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 | CH00033827
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA00020714
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License Number State | WA
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