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General NPI Number Information
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NPI Number | 1356679732
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Entity Type | Organization
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Legal Business Name | TAYLOR D SPINES FAMILY WELLNESS CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 200 HIGHWAY 2 EAST SUITE C
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City | WOLF POINT
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State | MT
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Zip | 59215-0462
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Country | US
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Telephone | 406-653-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HIGHWAY 2 EAST SUITE C
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City | WOLF POINT
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State | MT
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Zip | 59215-0462
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Country | US
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Telephone | 406-653-3600
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. CADE TAYLOR
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Credential | D.C.
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Telephone | 406-485-3551
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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 |
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License Number State |
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