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General NPI Number Information
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NPI Number | 1881001410
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Entity Type | Individual
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Provider Name | HALEY NICOLE GEHM D.C.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 410 E 20TH ST RM 9
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City | VANCOUVER
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State | WA
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Zip | 98663
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Country | US
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Telephone | 360-518-6251
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Fax | 360-991-0040
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Provider Business Mailing Address
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Address Line | 5002 SW 6TH AVE
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City | CAMAS
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State | WA
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Zip | 98607-2572
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Country | US
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Telephone | 360-518-6251
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Fax | 360-991-0040
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CH60475667
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License Number State | WA
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