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General NPI Number Information
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NPI Number | 1073793436
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Entity Type | Organization
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Legal Business Name | BACK TO HEALTH CHIROPRACTIC OF RANGELY, INC.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 402 W MAIN ST STE 135
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City | RANGELY
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State | CO
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Zip | 81648-2408
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Country | US
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Telephone | 970-675-2273
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Fax | 970-675-2273
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Provider Business Mailing Address
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Address Line | PO BOX 666
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City | RANGELY
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State | CO
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Zip | 81648-0666
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Country | US
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Telephone | 970-675-2273
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Fax | 970-675-2273
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOYCE K MULLER
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Credential | D.C.
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Telephone | 970-675-2273
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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 | 4463
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License Number State | CO
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