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General NPI Number Information
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NPI Number | 1356511125
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Entity Type | Organization
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Legal Business Name | DR. GARY J. LITLE, CHIROPRACTIC PHYSICIAN, P.C.
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 09/30/2014
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Provider Practice Location Address
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Address Line | 101 B STREET SUITE B
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City | TOWNSEND
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State | MT
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Zip | 59644
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Country | US
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Telephone | 406-266-4245
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Fax | 406-587-6074
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Provider Business Mailing Address
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Address Line | P.O. BOX 1230
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City | TOWNSEND
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State | MT
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Zip | 59644
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Country | US
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Telephone | 406-266-4245
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Fax | 406-587-6074
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY JOSEPH LITLE
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Credential | D.C.
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Telephone | 406-266-4245
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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 | 567
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License Number State | MT
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