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General NPI Number Information
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NPI Number | 1710624119
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Entity Type | Organization
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Legal Business Name | DR. JEREMIAH ADEN DC PLLC
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 4450 PALOMINO DR NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-4013
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Country | US
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Telephone | 651-230-7309
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Fax |
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Provider Business Mailing Address
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Address Line | 945 HILDEBRAND LN NE STE 210
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-3806
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Country | US
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Telephone | 206-451-4213
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Fax | 206-451-4239
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. JEREMIAH ORIN ADEN
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Credential | DC
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Telephone | 206-451-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number |
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License Number State |
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