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General NPI Number Information
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NPI Number | 1760781405
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Entity Type | Individual
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Provider Name | ROBERT CHANT II D.C.
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Gender | Male
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Dates
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Enumeration Date | 03/21/2011
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 24000 VAN RY BLVD STE 108
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City | MOUNTLAKE TERRACE
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State | WA
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Zip | 98043-5461
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Country | US
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Telephone | 425-678-9977
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Fax |
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Provider Business Mailing Address
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Address Line | 3924 243RD PL SE UNIT G202
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City | BOTHELL
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State | WA
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Zip | 98021-6928
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Country | US
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Telephone | 253-548-5829
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH60419729
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License Number State | WA
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