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General NPI Number Information
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NPI Number | 1326317546
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Entity Type | Organization
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Legal Business Name | WHITEFISH ACUPUNCTURE & CHIROPRACTIC, INC.
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Dates
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Enumeration Date | 12/16/2011
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Last Update Date | 12/16/2011
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Provider Practice Location Address
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Address Line | 181 HODGSON PINES WAY OFFICE
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City | WHITEFISH
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State | MT
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Zip | 59937-8585
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Country | US
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Telephone | 406-862-3546
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Fax |
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Provider Business Mailing Address
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Address Line | 181 HODGSON PINES WAY OFFICE
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City | WHITEFISH
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State | MT
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Zip | 59937-8585
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Country | US
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Telephone | 406-862-3546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN SCHRAM
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Credential | D.C.
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Telephone | 406-862-3546
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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 | 1184
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 204
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1110
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License Number State | MT
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