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General NPI Number Information
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NPI Number | 1992033658
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Entity Type | Organization
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Legal Business Name | REDMOND MARKET PLACE CHIROPRACTIC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 23515 NE NOVELTY HILL RD SUITE B-225
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City | REDMOND
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State | WA
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Zip | 98053-1996
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Country | US
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Telephone | 425-898-8000
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Fax | 425-898-8005
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Provider Business Mailing Address
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Address Line | 23515 NE NOVELTY HILL RD SUITE B-225
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City | REDMOND
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State | WA
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Zip | 98053-1996
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Country | US
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Telephone | 425-898-8000
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Fax | 425-898-8005
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Authorized Official
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Title or Position | CHIROPRACTOR/OWNER
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Name | MR. JOHN ALLEN TOWERS
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Credential | D.C.
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Telephone | 425-898-8000
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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 |
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License Number State | WA
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