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General NPI Number Information
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NPI Number | 1881087492
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Entity Type | Organization
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Legal Business Name | MILES CITY SPORT & SPINE PC
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Dates
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Enumeration Date | 03/07/2015
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2717 MAIN ST
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City | MILES CITY
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State | MT
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Zip | 59301-3902
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Country | US
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Telephone | 406-234-6278
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Fax | 406-234-6270
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Provider Business Mailing Address
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Address Line | PO BOX 1225
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City | MILES CITY
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State | MT
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Zip | 59301-1225
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Country | US
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Telephone | 406-234-6278
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Fax | 406-234-6270
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRED SCHEID III
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Credential | DC
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Telephone | 406-234-6278
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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-3441
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License Number State | MT
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