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General NPI Number Information
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NPI Number | 1285957019
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Entity Type | Organization
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Legal Business Name | MATZ FAMILY CHIROPRACTIC, P.C.
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Dates
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Enumeration Date | 03/08/2010
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Last Update Date | 03/08/2010
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Provider Practice Location Address
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Address Line | 1519 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-4755
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Country | US
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Telephone | 406-549-2006
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Fax | 406-549-6574
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Provider Business Mailing Address
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Address Line | 1519 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-4755
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Country | US
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Telephone | 406-549-2006
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Fax | 406-549-6574
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Authorized Official
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Title or Position | OWNER
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Name | STEVEN SCOTT MATZ
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Credential | D.C.
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Telephone | 406-549-2006
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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 | 545
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License Number State | MT
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