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General NPI Number Information
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NPI Number | 1518411560
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Entity Type | Individual
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Provider Name | COLTON BILL HOFFENBACKER DC
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Gender | Male
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Dates
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Enumeration Date | 08/08/2016
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Last Update Date | 08/08/2016
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Provider Practice Location Address
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Address Line | 7176 US HIGHWAY 93 S
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City | LAKESIDE
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State | MT
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Zip | 59922-9728
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Country | US
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Telephone | 406-844-2151
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Fax |
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Provider Business Mailing Address
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Address Line | 7176 US HIGHWAY 93 S
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City | LAKESIDE
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State | MT
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Zip | 59922-9728
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Country | US
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Telephone |
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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 | CHI-CHI-LIC-4109
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License Number State | MT
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