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NPI 1033196027

NPI 1033196027 : STEPHEN Y. DOBELBOWER D.C., D.A.C.B.N. : LIVINGSTON, MT

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General NPI Number Information
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    NPI Number           |    1033196027
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN Y. DOBELBOWER D.C., D.A.C.B.N.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2005
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    Last Update Date     |    09/15/2010
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Provider Practice Location Address
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    Address Line         |    1201 US HIGHWAY 10 W STE A1 
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    City                 |    LIVINGSTON
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    State                |    MT
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    Zip                  |    59047-9022
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    Country              |    US
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    Telephone            |    406-222-9373
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    Fax                  |    406-222-4441
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Provider Business Mailing Address
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    Address Line         |    1201 US HIGHWAY 10 W STE A1 
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    City                 |    LIVINGSTON
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    State                |    MT
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    Zip                  |    59047-9022
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    Country              |    US
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    Telephone            |    406-222-9373
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    Fax                  |    406-222-4441
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111NN1001X
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    Taxonomy Name        |    Nutrition Chiropractor
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    License Number       |    MT 949CHI
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    License Number State |    MT
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