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General NPI Number Information
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NPI Number | 1962012732
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Entity Type | Organization
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Legal Business Name | LINDA MATZ, P.C.
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 3700 S RUSSELL ST STE 115
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City | MISSOULA
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State | MT
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Zip | 59801-8579
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Country | US
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Telephone | 406-203-5180
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Fax | 406-203-5178
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Provider Business Mailing Address
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Address Line | 3700 S RUSSELL ST STE 115
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City | MISSOULA
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State | MT
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Zip | 59801-8579
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Country | US
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Telephone | 406-203-5180
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Fax | 406-830-3447
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. LINDA MARIE MATZ
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Credential | DC
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Telephone | 406-203-5180
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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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