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General NPI Number Information
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NPI Number | 1437310794
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Entity Type | Organization
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Legal Business Name | YOUR FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 315 S MAIN ST #101
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City | BURNS
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State | WY
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Zip | 82053
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Country | US
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Telephone | 307-547-3330
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Fax | 307-547-3339
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Provider Business Mailing Address
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Address Line | PO BOX 333
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City | BURNS
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State | WY
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Zip | 82053-0333
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Country | US
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Telephone | 307-547-3330
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Fax | 307-547-3339
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Authorized Official
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Title or Position | OWNER
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Name | KAYLA J MADLER
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Credential | DC
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Telephone | 307-547-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NP0017X
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Taxonomy Name | Pediatric Chiropractor
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License Number |
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License Number State |
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