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General NPI Number Information
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NPI Number | 1871715003
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Entity Type | Organization
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Legal Business Name | CASCADE HEALTH CARE INC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 827 S BURLINGTON BLVD
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City | BURLINGTON
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State | WA
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Zip | 98233-3307
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Country | US
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Telephone | 360-757-4101
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Fax | 360-757-4808
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Provider Business Mailing Address
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Address Line | 827 S BURLINGTON BLVD
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City | BURLINGTON
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State | WA
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Zip | 98233-3307
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Country | US
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Telephone | 360-757-4101
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Fax | 360-757-4808
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. PAUL CLIFFORD ROSASCO
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Credential | DC
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Telephone | 360-757-4101
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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 | CH00033895
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00001517
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License Number State | WA
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