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General NPI Number Information
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NPI Number | 1295056133
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN CHIROPRACTIC, PLLC.
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Dates
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Enumeration Date | 06/15/2010
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Last Update Date | 06/15/2010
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Provider Practice Location Address
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Address Line | 1440 HOLMES AVE
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City | BUTTE
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State | MT
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Zip | 59701-3396
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Country | US
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Telephone | 406-533-5903
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Fax | 406-494-2225
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Provider Business Mailing Address
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Address Line | 1440 HOLMES AVE
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City | BUTTE
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State | MT
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Zip | 59701-3396
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Country | US
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Telephone | 406-533-5903
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Fax | 406-494-2225
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. KRISTIN E GROTE
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Credential | D.C.
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Telephone | 406-533-5903
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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 | 1206
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License Number State | MT
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