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General NPI Number Information
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NPI Number | 1053061119
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Entity Type | Individual
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Provider Name | EMILY BALON
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 304 OSLOSKI RD
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City | EUREKA
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State | MT
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Zip | 59917-9217
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Country | US
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Telephone | 406-297-3145
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Fax | 406-297-3364
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Provider Business Mailing Address
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Address Line | 401 RAILROAD ST W
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City | MISSOULA
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State | MT
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Zip | 59802-4178
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Country | US
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Telephone | 406-584-4789
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Fax | 406-258-4732
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 162368
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License Number State | MT
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