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General NPI Number Information
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NPI Number | 1780829143
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Entity Type | Organization
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Legal Business Name | NORTH CITY CHIROPRACTIC HEALTH CLINIC INC
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Dates
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Enumeration Date | 12/12/2008
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 1624 NE 179TH ST
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City | SHORELINE
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State | WA
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Zip | 98155-3965
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Country | US
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Telephone | 206-362-3508
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 55488
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City | SHORELINE
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State | WA
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Zip | 98155-0488
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Country | US
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Telephone | 206-362-3508
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT/CHIROPRACTOR
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Name | DR. CHARIA ANN MARKOS
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Credential | D.C.
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Telephone | 206-362-3508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3261
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License Number State | WA
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