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General NPI Number Information
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NPI Number | 1255563979
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Entity Type | Organization
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Legal Business Name | SIMPLY CHIROPRACTIC, LLC
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Dates
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Enumeration Date | 08/13/2009
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 1100 N COLE RD
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City | BOISE
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State | ID
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Zip | 83704-8644
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Country | US
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Telephone | 208-375-3500
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Fax | 208-375-3716
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Provider Business Mailing Address
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Address Line | 1100 N COLE RD
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City | BOISE
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State | ID
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Zip | 83704-8644
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Country | US
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Telephone | 208-375-3500
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Fax | 208-375-3716
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. LINDSEY CARTER CHRISTENSEN
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Credential | D.C.
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Telephone | 208-375-3500
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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 | CHIA-1316
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License Number State | ID
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