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NPI 1649286337

NPI 1649286337 : NORTHERN CHIROPRACTIC PC : HARDIN, MT

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General NPI Number Information
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    NPI Number           |    1649286337
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTHERN CHIROPRACTIC PC 
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Dates
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    Enumeration Date     |    08/01/2006
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    Last Update Date     |    01/18/2011
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Provider Practice Location Address
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    Address Line         |    201 W 4TH STREET 
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    City                 |    HARDIN
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    State                |    MT
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    Zip                  |    59034
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    Country              |    US
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    Telephone            |    406-665-1555
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    Fax                  |    406-665-1345
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Provider Business Mailing Address
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    Address Line         |    201 W 4TH STREET 
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    City                 |    HARDIN
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    State                |    MT
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    Zip                  |    59034
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    Country              |    US
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    Telephone            |    406-665-1555
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    Fax                  |    406-665-1345
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GEORGE L TOYNE 
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    Credential           |    DC
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    Telephone            |    406-665-1555
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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       |    677
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    License Number State |    MT
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