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General NPI Number Information
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NPI Number | 1760544019
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Entity Type | Organization
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Legal Business Name | GOOD HEALTH NATURALLY PLLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3606 MAIN ST STE 205
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City | VANCOUVER
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State | WA
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Zip | 98663-2257
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Country | US
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Telephone | 360-693-7781
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Fax | 360-693-1688
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Provider Business Mailing Address
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Address Line | 3606 MAIN ST SUITE 205
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City | VANCOUVER
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State | WA
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Zip | 98663-2257
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Country | US
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Telephone | 360-693-7781
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Fax | 360-693-1688
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK J BLESSLEY
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Credential | DC
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Telephone | 360-693-7781
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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 | CH00003457
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License Number State | WA
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