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General NPI Number Information
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NPI Number | 1659389906
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH CHIROPRACTIC, PC
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 690 N MERIDIAN RD SUITE 105
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City | KALISPELL
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State | MT
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Zip | 59901-3586
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Country | US
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Telephone | 406-752-7289
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Fax | 406-752-8679
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Provider Business Mailing Address
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Address Line | 690 N MERIDIAN RD SUITE 105
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City | KALISPELL
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State | MT
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Zip | 59901-3586
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Country | US
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Telephone | 406-752-7289
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Fax | 406-752-8679
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD W PUCHTA
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Credential | D.C.
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Telephone | 406-752-7289
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 841CHI
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License Number State | MT
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