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General NPI Number Information
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NPI Number | 1588521173
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Entity Type | Organization
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Legal Business Name | MOUNTAIN MOVEMENT CHIROPRACTIC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 127 W ILLINOIS ST
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City | SPEARFISH
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State | SD
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Zip | 57783-2344
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Country | US
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Telephone | 605-418-5994
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Fax |
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Provider Business Mailing Address
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Address Line | 127 W ILLINOIS ST
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City | SPEARFISH
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State | SD
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Zip | 57783-2344
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Country | US
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Telephone | 605-418-5994
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZACHARY ANDREW HANSEN
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Credential | DC
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Telephone | 605-418-5994
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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 |
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License Number State |
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