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General NPI Number Information
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NPI Number | 1336524651
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Entity Type | Organization
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Legal Business Name | ARCTIC CHIROPRACTIC AND PHYSICAL MEDICINE
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 107 A ALEX HATELY
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City | BETHEL
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State | AK
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Zip | 99559-3466
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Country | US
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Telephone | 907-543-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 S COLONY WAY STE 3 PMB 226
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City | PALMER
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State | AK
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Zip | 99645-6967
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Country | US
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Telephone | 907-543-7600
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Fax | 907-543-0015
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. CHRISTOPHER FRANCIS TWIFORD
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Credential | DC
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Telephone | 907-543-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 439
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License Number State | AK
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