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General NPI Number Information
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NPI Number | 1841370053
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Entity Type | Organization
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Legal Business Name | ASPEN MANAGMENT SERVICES INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 657 S WOODRUFF AVE
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City | IDAHO FALLS
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State | ID
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Zip | 83401-5596
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Country | US
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Telephone | 208-552-9886
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Fax | 208-552-9843
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Provider Business Mailing Address
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Address Line | 645 S WOODRUFF AVE
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City | IDAHO FALLS
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State | ID
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Zip | 83401-5596
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Country | US
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Telephone | 208-552-9886
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Fax | 208-552-9843
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. GARY OLAVESON
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Credential | D.C.
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Telephone | 208-552-9886
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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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