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General NPI Number Information
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NPI Number | 1730484700
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Entity Type | Organization
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Legal Business Name | CK CHIROPRACTIC
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 2851 NW KITSAP PL
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City | SILVERDALE
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State | WA
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Zip | 98383-9447
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Country | US
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Telephone | 360-692-0181
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Fax | 360-692-3847
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Provider Business Mailing Address
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Address Line | 2851 NW KITSAP PL
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City | SILVERDALE
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State | WA
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Zip | 98383-9447
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Country | US
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Telephone | 360-692-0181
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Fax | 360-692-3847
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Authorized Official
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Title or Position | OWENER
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Name | DR. DAVID LEE FROINES
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Credential | DC
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Telephone | 360-692-0181
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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 | CH00002049
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License Number State | WA
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