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General NPI Number Information
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NPI Number | 1881761237
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Entity Type | Individual
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Provider Name | BRUCE E NORDSTROM D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 K ST NW SUITE 100
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City | WASHINGTON
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State | DC
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Zip | 20006-2806
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Country | US
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Telephone | 202-466-3803
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Fax | 202-429-9699
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Provider Business Mailing Address
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Address Line | 9117 SCOTT ST
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City | SPRINGFIELD
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State | VA
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Zip | 22153-4110
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Country | US
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Telephone | 703-440-0072
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Fax | 202-429-9699
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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 | CH14048
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License Number State | DC
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