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General NPI Number Information
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NPI Number | 1033919568
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Entity Type | Organization
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Legal Business Name | SARATOGA CHIROPRACTIC PC
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 112 EAST BRIDGE STREET SUITE 1
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City | SARATOGA
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State | WY
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Zip | 82331
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Country | US
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Telephone | 307-326-3126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 242
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City | SARATOGA
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State | WY
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Zip | 82331-0242
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Country | US
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Telephone | 307-326-3126
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. CHRISTINA KREUSEL
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Credential |
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Telephone | 307-326-3126
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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 |
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