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General NPI Number Information
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NPI Number | 1407913080
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Entity Type | Individual
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Provider Name | STEVEN M MAZUR DC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 1048 BURLINGTON AVE SUITE 101
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City | MISSOULA
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State | MT
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Zip | 59801-5683
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Country | US
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Telephone | 406-549-2771
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Fax | 406-926-1227
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Provider Business Mailing Address
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Address Line | PO BOX 1176
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City | LOLO
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State | MT
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Zip | 59847-1176
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Country | US
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Telephone | 406-549-2771
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Fax | 406-549-3925
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MT615
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License Number State | MT
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