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General NPI Number Information
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NPI Number | 1104716307
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Entity Type | Organization
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Legal Business Name | BIG SKY AMBULANCE RB LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 1911 4TH AVE N
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City | GREAT FALLS
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State | MT
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Zip | 59401-2731
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Country | US
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Telephone | 406-399-1464
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 4TH AVE N
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City | GREAT FALLS
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State | MT
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Zip | 59401-2731
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Country | US
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Telephone | 406-399-1464
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK BENJAMIN
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Credential | MD
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Telephone | 406-399-1464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number |
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License Number State |
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