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General NPI Number Information
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NPI Number | 1750778106
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Entity Type | Organization
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Legal Business Name | ADJUSTING TO WELLNESS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 5201 E FOURTH PLAIN BLVD
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City | VANCOUVER
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State | WA
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Zip | 98661-8502
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Country | US
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Telephone | 509-876-6976
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Fax |
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Provider Business Mailing Address
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Address Line | 1476 E SUMACH ST
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City | WALLA WALLA
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State | WA
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Zip | 99362-8010
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Country | US
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Telephone | 509-876-6976
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHANCE HIGGINBOTHAM
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Credential | D.C.
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Telephone | 509-876-6976
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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 | CH 60536550
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License Number State | WA
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