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General NPI Number Information
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NPI Number | 1790944270
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Entity Type | Organization
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Legal Business Name | FOLWEILER CHIROPRACTIC PS
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 10564 5TH AVE NE STE 202
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City | SEATTLE
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State | WA
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Zip | 98125-7200
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Country | US
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Telephone | 206-523-3855
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Fax | 206-523-5312
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Provider Business Mailing Address
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Address Line | 10564 5TH AVE NE STE 202
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City | SEATTLE
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State | WA
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Zip | 98125-7200
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Country | US
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Telephone | 206-523-3855
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Fax | 206-523-5312
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID FOLWEILER
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Credential | DC
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Telephone | 206-523-3855
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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 | CH00003174
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License Number State | WA
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