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General NPI Number Information
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NPI Number | 1891935870
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Entity Type | Organization
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Legal Business Name | OSCARE HEALTH CENTER
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 16521 13TH AVE W STE 105
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City | LYNNWOOD
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State | WA
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Zip | 98037-8530
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Country | US
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Telephone | 425-743-1000
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Fax | 425-743-2635
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Provider Business Mailing Address
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Address Line | 16521 13TH AVE W STE 105
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City | LYNNWOOD
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State | WA
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Zip | 98037-8530
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Country | US
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Telephone | 425-743-1000
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Fax | 425-743-2635
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Authorized Official
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Title or Position | OWNER
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Name | SUK JAE HUR
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Credential | DC
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Telephone | 425-743-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA60002559
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH00034559
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License Number State | WA
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