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General NPI Number Information
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NPI Number | 1821719154
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Entity Type | Organization
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Legal Business Name | THRIVE CHIROPRACTIC PLLC
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 734 9TH ST W STE 7
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City | COLUMBIA FALLS
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State | MT
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Zip | 59912-3858
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Country | US
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Telephone | 406-471-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 303 CASCADE CT
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City | WHITEFISH
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State | MT
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Zip | 59937-8962
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Country | US
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Telephone | 406-471-7122
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. KELTIE WARREN
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Credential | DC
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Telephone | 406-471-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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