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General NPI Number Information
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NPI Number | 1063931848
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Entity Type | Organization
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Legal Business Name | GABBERT CHIROPRACTIC CENTER INC.
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Dates
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Enumeration Date | 09/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 115 S KENDRICK AVE
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City | GLENDIVE
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State | MT
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Zip | 59330-1626
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Country | US
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Telephone | 406-377-2101
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Fax | 406-377-2108
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Provider Business Mailing Address
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Address Line | 115 S KENDRICK AVE
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City | GLENDIVE
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State | MT
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Zip | 59330-1626
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Country | US
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Telephone | 406-377-2101
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Fax | 406-377-2108
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Authorized Official
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Title or Position | OWNER
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Name | TRACY L GABBERT
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Credential | DC
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Telephone | 406-377-2101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 361
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License Number State | MT
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