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General NPI Number Information
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NPI Number | 1851082457
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Entity Type | Organization
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Legal Business Name | GURULE CHIROPRACTIC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 500 E WHITEAKER AVE
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-1648
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Country | US
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Telephone | 541-942-5024
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Fax | 541-942-0598
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Provider Business Mailing Address
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Address Line | 500 E WHITEAKER AVE
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City | COTTAGE GROVE
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State | OR
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Zip | 97424-1648
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Country | US
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Telephone | 541-942-5024
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Fax | 541-942-0598
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIK BRIAN GURULE-LONG
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Credential | DC
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Telephone | 503-999-1390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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