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General NPI Number Information
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NPI Number | 1912761750
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Entity Type | Organization
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Legal Business Name | UNIVERSITY CHIROPRACTIC SERVICES
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | UNIVERSITY CHIROPRACTIC 13701 E SPRAGUE AVE
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City | SPOILANE VALLEY
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State | WA
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Zip | 99216
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Country | US
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Telephone | 509-922-4458
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Fax | 509-922-8234
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Provider Business Mailing Address
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Address Line | 13701 E SPRAGUE AVE
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City | SPOILANE VALLEY
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State | WA
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Zip | 99216
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Country | US
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Telephone | 509-922-4458
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Fax | 509-922-8234
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Authorized Official
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Title or Position | OWNER
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Name | KARL SMITH
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Credential | DC
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Telephone | 509-982-4458
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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 |
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License Number State |
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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 |
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License Number State |
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