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General NPI Number Information
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NPI Number | 1306253182
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Entity Type | Organization
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Legal Business Name | SALUS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 10 N 9TH ST
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City | MILES CITY
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State | MT
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Zip | 59301-3325
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Country | US
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Telephone | 406-234-4263
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Fax |
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Provider Business Mailing Address
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Address Line | 10 N 9TH ST
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City | MILES CITY
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State | MT
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Zip | 59301-3325
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Country | US
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Telephone | 406-234-4263
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANE BURKE
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Credential | D.C.
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Telephone | 406-234-4263
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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 | MT 1238
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License Number State | MT
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