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General NPI Number Information
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NPI Number | 1083449664
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Entity Type | Individual
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Provider Name | JULIE FATLAND MSN, APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 350 HERITAGE WAY STE 1100
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City | KALISPELL
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State | MT
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Zip | 59901-3160
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Country | US
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Telephone | 406-752-8900
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Fax | 406-752-8909
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Provider Business Mailing Address
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Address Line | 288 MOUNTAIN VISTA WAY
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City | KALISPELL
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State | MT
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Zip | 59901-7757
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Country | US
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Telephone | 406-788-6538
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Fax |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 38093
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 240120
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License Number State | MT
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