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General NPI Number Information
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NPI Number | 1043480767
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Entity Type | Organization
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Legal Business Name | NURSE ON THE RUN, LLC
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 835 HIGHLAND DRIVE
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City | WHITEFISH
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State | MT
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Zip | 59937-8110
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Country | US
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Telephone | 406-862-3990
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Fax |
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Provider Business Mailing Address
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Address Line | 835 HIGHLAND DR
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City | WHITEFISH
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State | MT
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Zip | 59937-8110
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Country | US
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Telephone | 406-862-3990
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Fax |
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Authorized Official
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Title or Position | OWNER/RN
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Name | MRS. DIANE MARIE HELGATH
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Credential | NURSE
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Telephone | 406-261-7787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number | 10119
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License Number State | MT
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