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General NPI Number Information
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NPI Number | 1982886461
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Entity Type | Organization
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Legal Business Name | BATTLE GROUND CHIROPRATIC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 15 NW 20TH AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4226
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Country | US
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Telephone | 360-687-3181
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Fax | 360-687-1992
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Provider Business Mailing Address
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Address Line | PO BOX 2462
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City | BATTLE GROUND
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State | WA
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Zip | 98604-2462
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Country | US
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Telephone | 360-687-3181
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Fax | 360-687-1992
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN C BUCHANAN
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Credential | D.C.
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Telephone | 360-687-3181
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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 | CHO00000786
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License Number State | WA
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