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General NPI Number Information
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NPI Number | 1831654607
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Entity Type | Organization
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Legal Business Name | STUTO CHIROPRACTIC INC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 4100 MULLAN RD UNIT 301
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City | MISSOULA
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State | MT
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Zip | 59808-5114
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Country | US
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Telephone | 406-728-1250
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Fax | 406-728-1279
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Provider Business Mailing Address
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Address Line | 4100 MULLAN RD UNIT 301
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City | MISSOULA
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State | MT
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Zip | 59808-5114
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Country | US
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Telephone | 406-728-1250
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Fax | 406-728-1279
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAUN PHILIP STUTO
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Credential | DC
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Telephone | 406-728-1250
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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 |
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License Number State |
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