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General NPI Number Information
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NPI Number | 1205719556
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Entity Type | Organization
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Legal Business Name | CANYON SPRINGS CHIROPRACTIC WELLNESS CENTER PLLC
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2167 VILLAGE PARK AVE STE 100
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City | TWIN FALLS
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State | ID
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Zip | 83301-4174
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Country | US
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Telephone | 208-737-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 2167 VILLAGE PARK AVE STE 100
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City | TWIN FALLS
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State | ID
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Zip | 83301-4174
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Country | US
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Telephone | 208-737-1430
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. ERIK MADSEN
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Credential | D.C.
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Telephone | 801-971-2774
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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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