{
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"EIN": null,
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"IsOrgSubpart": "Y",
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"ParentOrgTIN": null,
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"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
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"FirstLineMailingAddress": "993 S 24TH ST W",
"SecondLineMailingAddress": "SUITE A",
"MailingAddressCityName": "BILLINGS",
"MailingAddressStateName": "MT",
"MailingAddressPostalCode": "59102-7433",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-869-6551",
"MailingAddressFaxNumber": "406-869-6552",
"FirstLinePracticeLocationAddress": "993 S 24TH ST W",
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"PracticeLocationAddressTelephoneNumber": "406-869-6551",
"PracticeLocationAddressFaxNumber": "406-869-6552",
"EnumerationDate": "01/30/2010",
"LastUpdateDate": "06/14/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LARSON",
"AuthorizedOfficialFirstName": "KEVIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SENIOR VICE PRESIDENT",
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"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "406-245-3575",
"Taxonomies": {
"Taxonomy": [
{
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},
{
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}
]
},
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}
}