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General NPI Number Information
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NPI Number | 1801166533
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Entity Type | Organization
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Legal Business Name | ALPINE CHIROPRACTIC CLINIC PS, INC.
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2012
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Provider Practice Location Address
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Address Line | 4020 WHEATON WAY SUITE N
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City | BREMERTON
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State | WA
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Zip | 98310-3566
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Country | US
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Telephone | 360-479-2144
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Fax | 360-479-1957
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Provider Business Mailing Address
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Address Line | 4020 WHEATON WAY SUITE N
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City | BREMERTON
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State | WA
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Zip | 98310-3566
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Country | US
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Telephone | 360-479-2144
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Fax | 360-479-1957
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | DR. RONALD S. HILLERS
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Credential | D.C.
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Telephone | 360-479-2144
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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 | CH00003353WA
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License Number State | WA
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