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General NPI Number Information
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NPI Number | 1184548596
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Entity Type | Organization
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Legal Business Name | MAIN STREET CHIROPRACTIC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 1228 E MAIN ST STE 2
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City | MONTROSE
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State | CO
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Zip | 81401-5821
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Country | US
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Telephone | 970-249-2233
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Fax | 970-249-0923
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Provider Business Mailing Address
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Address Line | 1228 E MAIN ST STE 2
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City | MONTROSE
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State | CO
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Zip | 81401-5821
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Country | US
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Telephone | 970-249-2233
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Fax | 970-249-0923
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Authorized Official
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Title or Position | OWNER
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Name | JAMES WALDREN
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Credential | DC
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Telephone | 970-249-2233
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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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