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General NPI Number Information
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NPI Number | 1013119171
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Entity Type | Organization
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Legal Business Name | PLAINS SYNERGY HEALTHCARE PLLC
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 100 S MERRILL AVE SUITE #24
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City | GLENDIVE
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State | MT
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Zip | 59330-1635
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Country | US
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Telephone | 406-377-1179
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Fax |
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Provider Business Mailing Address
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Address Line | 100 1/2 S. MERRILL AVE. SUITE #24
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City | GLENDIVE
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State | MT
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Zip | 59330
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Country | US
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Telephone | 406-377-1179
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOAN DICKSON
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Credential | M.D.
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Telephone | 406-377-1179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9958
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 9958
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License Number State | MT
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