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General NPI Number Information
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NPI Number | 1902880578
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Entity Type | Organization
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Legal Business Name | CITY CHIROPRACTIC INC
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY #1645
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-682-4424
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Fax | 206-682-3802
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Provider Business Mailing Address
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Address Line | 509 OLIVE WAY #1645
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City | SEATTLE
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State | WA
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Zip | 98101
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Country | US
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Telephone | 206-682-4424
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Fax | 206-682-3802
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Authorized Official
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Title or Position | PRESIDENT
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Name | MINH VO JR.
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Credential | DC
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Telephone | 206-682-4424
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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 | CH00003602
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License Number State | WA
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