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General NPI Number Information
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NPI Number | 1801451737
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Entity Type | Organization
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Legal Business Name | CEPHUS CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/06/2019
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Last Update Date | 05/06/2019
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Provider Practice Location Address
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Address Line | 19755 SW TV HWY
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City | ALOHA
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State | OR
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Zip | 97003-2338
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Country | US
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Telephone | 503-430-5915
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Fax | 503-746-4246
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Provider Business Mailing Address
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Address Line | PO BOX 1604
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City | SHERWOOD
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State | OR
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Zip | 97140-1604
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Country | US
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Telephone | 503-430-5915
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Fax | 503-746-4246
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Authorized Official
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Title or Position | OWNER
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Name | DR. MAURICE NAPOLEAN CEPHUS II
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Credential | DC
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Telephone | 503-430-5919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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