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General NPI Number Information
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NPI Number | 1568551091
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Entity Type | Organization
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Legal Business Name | REMEDIES DAY SPA
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 105 WISCONSIN AVE
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City | WHITEFISH
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State | MT
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Zip | 59937-2304
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Country | US
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Telephone | 406-863-9493
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Fax |
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Provider Business Mailing Address
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Address Line | 105 WISCONSIN AVE
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City | WHITEFISH
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State | MT
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Zip | 59937-2304
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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 | OWNER
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Name | MRS. JENNIFER KAY KRACK
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Credential | LMP
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Telephone | 406-249-3602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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