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General NPI Number Information
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NPI Number | 1154556058
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Entity Type | Organization
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Legal Business Name | GARTH CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 6475 HWY 93 S STE 56
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City | WHITEFISH
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State | MT
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Zip | 59937-8265
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Country | US
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Telephone | 406-862-6142
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 HWY 93 S STE 56
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City | WHITEFISH
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State | MT
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Zip | 59937-8265
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Country | US
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Telephone | 406-862-6142
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAYMOND H GARTH II
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Credential | D.C., DACAN
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Telephone | 406-862-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 791
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License Number State | MT
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