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General NPI Number Information
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NPI Number | 1841689858
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Entity Type | Organization
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Legal Business Name | HOOYMAN
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 143 NW 85TH ST
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City | SEATTLE
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State | WA
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Zip | 98117-3047
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Country | US
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Telephone | 262-271-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 12024 SE 310TH ST
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City | AUBURN
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State | WA
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Zip | 98092-3107
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Country | US
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Telephone | 262-271-4106
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | JASON HOOYMAN
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Credential |
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Telephone | 253-632-6862
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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 | CH60516617
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License Number State | WA
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