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General NPI Number Information
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NPI Number | 1043672942
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Entity Type | Individual
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Provider Name | ANNIE C. DONG M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 2827 FORT MISSOULA RD BLDG 5
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City | MISSOULA
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State | MT
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Zip | 59804-7408
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Country | US
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Telephone | 406-327-4646
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Fax | 406-327-4649
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Provider Business Mailing Address
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Address Line | 2827 FORT MISSOULA RD BLDG 5
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City | MISSOULA
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State | MT
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Zip | 59804-7408
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Country | US
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Telephone | 406-327-4646
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Fax | 406-327-4649
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | ME155656
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License Number State | FL
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