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General NPI Number Information
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NPI Number | 1811314065
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Entity Type | Organization
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Legal Business Name | NATURAL SPINE SOLUTIONS
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 3913 N SCHREIBER WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8395
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Country | US
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Telephone | 208-966-4425
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Fax | 208-930-0004
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Provider Business Mailing Address
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Address Line | 3913 N SCHREIBER WAY
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City | COEUR D ALENE
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State | ID
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Zip | 83815-8395
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Country | US
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Telephone | 208-966-4425
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Fax | 208-930-0004
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | KRISTEN KINZER
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Credential |
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Telephone | 208-966-4425
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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 | CHIA1523
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License Number State | ID
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