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General NPI Number Information
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NPI Number | 1003370396
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Entity Type | Organization
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Legal Business Name | TMS MISSOULA LLC
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Dates
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Enumeration Date | 01/30/2019
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 2809 GREAT NORTHERN LOOP STE 410
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City | MISSOULA
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State | MT
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Zip | 59808-1749
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Country | US
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Telephone | 406-493-1344
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Fax | 406-830-3127
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Provider Business Mailing Address
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Address Line | 2809 GREAT NORTHERN LOOP SUITE 410
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City | MISSOULA
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State | MT
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Zip | 59808-1749
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Country | US
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Telephone | 406-493-1344
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Fax | 406-830-3127
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Authorized Official
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Title or Position | TMS TECHNICIAN/OWNER
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Name | ANNA MARIE TSCHIDA
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Credential |
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Telephone | 406-493-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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