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General NPI Number Information
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NPI Number | 1902610173
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Entity Type | Organization
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Legal Business Name | FREEDOM CHIROPRACTIC AND WELLNESS
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Dates
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Enumeration Date | 02/06/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1643 24TH ST W STE 203
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City | BILLINGS
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State | MT
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Zip | 59102-2677
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Country | US
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Telephone | 406-272-2209
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Fax | 406-652-2627
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Provider Business Mailing Address
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Address Line | 1643 24TH ST W STE 203
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City | BILLINGS
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State | MT
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Zip | 59102-2677
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Country | US
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Telephone | 406-272-2209
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Fax | 406-652-2627
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Authorized Official
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Title or Position | OWNER
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Name | ERIC SIMONTON
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Credential | DC
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Telephone | 406-989-0475
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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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