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General NPI Number Information
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NPI Number | 1427131739
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Entity Type | Individual
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Provider Name | SUSAN J ANDERSON D.C.
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2510 SPURGIN RD STE C
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City | MISSOULA
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State | MT
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Zip | 59804-3105
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Country | US
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Telephone | 406-802-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 SPURGIN RD STE C
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City | MISSOULA
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State | MT
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Zip | 59804-3105
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Country | US
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Telephone | 406-802-2838
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Fax |
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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 | 327
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHI-CHI-LIC-8170
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License Number State | MT
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