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General NPI Number Information
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NPI Number | 1891846481
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Entity Type | Organization
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Legal Business Name | BRIAN L NORCE
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 213 W APPLEWAY AVE STE 7
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City | COEUR D ALENE
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State | ID
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Zip | 83815
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Country | US
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Telephone | 208-666-1000
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Fax | 208-665-7749
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Provider Business Mailing Address
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Address Line | 213 W APPLEWAY AVE STE 7
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City | COEUR D ALENE
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State | ID
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Zip | 83814-9372
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Country | US
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Telephone | 208-666-1000
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Fax | 208-665-7749
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. BRIAN LEE NORCE
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Credential | DC
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Telephone | 208-666-1000
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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 | CHIA1029
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License Number State | ID
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