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General NPI Number Information
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NPI Number | 1063148476
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Entity Type | Organization
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Legal Business Name | BIG SKY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 106 E PARK ST STE 101
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City | MCCALL
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State | ID
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Zip | 83638-5064
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Country | US
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Telephone | 208-630-6282
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Fax | 208-630-6281
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Provider Business Mailing Address
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Address Line | PO BOX 2024
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City | MCCALL
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State | ID
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Zip | 83638-2024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | JESSICA PITRE
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Credential |
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Telephone | 206-259-5878
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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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