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General NPI Number Information
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NPI Number | 1881572303
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Entity Type | Organization
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Legal Business Name | SPINE FACTOR CHIROPRACTIC & WELLNESS, PLLC
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 24255 104TH AVE SE
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City | KENT
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State | WA
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Zip | 98030-4972
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Country | US
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Telephone | 206-289-0207
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Fax | 253-277-4672
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Provider Business Mailing Address
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Address Line | 24255 104TH AVE SE
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City | KENT
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State | WA
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Zip | 98030-4972
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Country | US
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Telephone | 206-289-0207
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Fax | 253-277-4672
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Authorized Official
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Title or Position | CEO/OWNER
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Name | JB SILVER
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Credential | DC
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Telephone | 206-227-2392
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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 |
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License Number State |
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