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General NPI Number Information
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NPI Number | 1700152022
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Entity Type | Organization
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Legal Business Name | ACCIDENT CARE SPECIALISTS
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Dates
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Enumeration Date | 03/30/2012
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 4130 SW 117TH AVE SUIE F
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City | BEAVERTON
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State | OR
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Zip | 97005-5606
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Country | US
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Telephone | 503-574-2222
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Fax | 503-574-2220
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Provider Business Mailing Address
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Address Line | 4130 SW 117TH AVE SUIE F
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City | BEAVERTON
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State | OR
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Zip | 97005-5606
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Country | US
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Telephone | 503-574-2222
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Fax | 503-574-2220
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALEXIS N LEE
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Credential | D.C.
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Telephone | 503-593-1527
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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 | 3855
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License Number State | OR
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