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General NPI Number Information
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NPI Number | 1033807714
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Entity Type | Individual
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Provider Name | ISAAC MARTEL DC
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Gender | Male
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 8545 MT HIGHWAY 35
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City | BIGFORK
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State | MT
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Zip | 59911-3715
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Country | US
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Telephone | 406-257-6531
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Fax |
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Provider Business Mailing Address
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Address Line | 698 LATIGO LN
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City | BIGFORK
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State | MT
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Zip | 59911-6609
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Country | US
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Telephone | 406-890-0668
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Fax |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHI-CHI-LIC-8043
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License Number State | MT
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