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General NPI Number Information
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NPI Number | 1841127628
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Entity Type | Organization
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Legal Business Name | BACKCOUNTRY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 323 W MAIN ST STE 202
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City | FRISCO
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State | CO
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Zip | 80443-5966
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Country | US
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Telephone | 970-368-2764
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8851
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City | AVON
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State | CO
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Zip | 81620-8829
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Country | US
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Telephone | 970-368-2764
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR, OWNER
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Name | DR. ALEXANDRA ALISE PAUL
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Credential | DC
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Telephone | 908-566-6336
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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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