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General NPI Number Information
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NPI Number | 1881318954
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Entity Type | Individual
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Provider Name | JARED LEIFER DC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 915 E HAWTHORNE RD STE D
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City | SPOKANE
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State | WA
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Zip | 99218-1482
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Country | US
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Telephone | 509-413-2302
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Fax |
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Provider Business Mailing Address
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Address Line | 4909 E UPRIVER DR APT A103
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City | SPOKANE
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State | WA
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Zip | 99217-7202
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Country | US
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Telephone | 509-366-3862
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Fax |
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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 | CH61280200
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License Number State | WA
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