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General NPI Number Information
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NPI Number | 1184814469
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Entity Type | Organization
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Legal Business Name | JEFFREY R MITCHELL DC PC
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 1918 BROADWATER AVE
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City | BILLINGS
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State | MT
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Zip | 59102-4867
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Country | US
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Telephone | 406-652-1923
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Fax | 406-794-0742
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Provider Business Mailing Address
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Address Line | 1918 BROADWATER AVE
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City | BILLINGS
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State | MT
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Zip | 59102-4867
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Country | US
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Telephone | 406-652-1923
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Fax | 406-794-0742
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY RUSSELL MITCHELL
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Credential | DC
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Telephone | 406-652-1923
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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 | 1017
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License Number State | MT
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