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General NPI Number Information
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NPI Number | 1780051771
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Entity Type | Organization
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Legal Business Name | CASCADE CHIROPRACTIC
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 949 E MAIN ST
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City | AUBURN
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State | WA
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Zip | 98002-5623
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Country | US
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Telephone | 253-833-2999
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Fax | 253-833-1331
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Provider Business Mailing Address
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Address Line | 949 E MAIN ST
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City | AUBURN
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State | WA
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Zip | 98002-5623
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Country | US
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Telephone | 253-833-2999
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Fax | 253-833-1331
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ERIN COLLINSWORTH
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Credential |
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Telephone | 253-833-2999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA 60503871
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License Number State | WA
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