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General NPI Number Information
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NPI Number | 1831637669
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Entity Type | Organization
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Legal Business Name | THE BEND, PC
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 245 2ND ST W
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City | WHITEFISH
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State | MT
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Zip | 59937-3006
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Country | US
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Telephone | 406-888-6044
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5112
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City | WHITEFISH
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State | MT
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Zip | 59937-5112
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Country | US
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Telephone | 406-888-6044
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ERIKA LYNN PUTNAM
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Credential | DC
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Telephone | 406-888-6044
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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 | CHI CHI LIC 4489
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License Number State | MT
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