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General NPI Number Information
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NPI Number | 1982287280
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Entity Type | Organization
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Legal Business Name | MONARCH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 1831 SE 7TH AVE STE 201
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City | PORTLAND
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State | OR
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Zip | 97214-3580
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Country | US
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Telephone | 503-383-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 3754 SE SALMON ST
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City | PORTLAND
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State | OR
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Zip | 97214-4338
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Country | US
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Telephone | 415-571-0601
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. KARA WERNER
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Credential | DC
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Telephone | 415-571-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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