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General NPI Number Information
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NPI Number | 1750057683
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Entity Type | Organization
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Legal Business Name | SEATAC CHIROPRACTIC & MASSAGE PLLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 20804 INTERNATIONAL BLVD STE 2A
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City | SEATAC
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State | WA
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Zip | 98198-5949
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Country | US
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Telephone | 425-572-0649
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58243
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City | TUKWILA
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State | WA
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Zip | 98138-1243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BINH DO
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Credential | DC
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Telephone | 408-499-5591
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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 |
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License Number State |
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