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General NPI Number Information
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NPI Number | 1023155611
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Entity Type | Organization
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Legal Business Name | INNER REFLECTIONS HEALTHCARE
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1701 CENTRAL AVE
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City | GREAT FALLS
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State | MT
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Zip | 59401-3839
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Country | US
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Telephone | 406-453-1254
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Fax | 106-453-0776
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Provider Business Mailing Address
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Address Line | 1701 CENTRAL AVE
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City | GREAT FALLS
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State | MT
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Zip | 59401-3839
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Country | US
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Telephone | 406-453-1254
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Fax | 106-453-0776
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NANCY A PATTERSON
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Credential | ND
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Telephone | 406-453-1254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 70
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License Number State | MT
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