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General NPI Number Information
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NPI Number | 1821829615
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Entity Type | Organization
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Legal Business Name | THEE EMPIRE
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 101 MILL ST SUITE 200 OFFICE D
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City | RIDGEFIELD
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State | WA
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Zip | 98642
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Country | US
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Telephone | 360-524-4146
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Fax |
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Provider Business Mailing Address
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Address Line | 720 SE 160TH AVE SUITE 103 #145
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City | VANCOUVER
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State | WA
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Zip | 98684
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA L SETTLE
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Credential | DC
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Telephone | 360-524-4146
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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 |
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License Number State |
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