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General NPI Number Information
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NPI Number | 1134606429
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Entity Type | Individual
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Provider Name | PAIGE NELSON
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Gender | Female
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 800 LOLA ST
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City | HELENA
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State | MT
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Zip | 59601-8657
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Country | US
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Telephone | 406-449-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 128 W GRANITE ST
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City | BUTTE
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State | MT
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Zip | 59701-9216
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Country | US
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Telephone | 406-449-2501
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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 | 5090
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License Number State | MT
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