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General NPI Number Information
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NPI Number | 1063653327
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Entity Type | Organization
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Legal Business Name | RIVER CITY FAMILY HEALTH
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 05/27/2009
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Provider Practice Location Address
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Address Line | 742 KENSINGTON AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5720
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Country | US
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Telephone | 406-541-8090
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Fax | 406-541-8093
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Provider Business Mailing Address
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Address Line | 742 KENSINGTON AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5720
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Country | US
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Telephone | 406-541-8090
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Fax | 406-541-8093
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Authorized Official
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Title or Position | OWNER
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Name | MS. DENI R LLOVET
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Credential | FNP
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Telephone | 406-541-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15532
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License Number State | MT
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