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General NPI Number Information
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NPI Number | 1114056967
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Entity Type | Organization
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Legal Business Name | CARDIOPULMONARY ASSOCIATES OF MONTANA, PLLC
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 601 W SPRUCE ST SUITE A
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City | MISSOULA
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State | MT
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Zip | 59802-4057
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Country | US
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Telephone | 406-329-2945
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Fax |
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Provider Business Mailing Address
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Address Line | 601 W SPRUCE ST SUITE A
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City | MISSOULA
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State | MT
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Zip | 59802-4057
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Country | US
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Telephone | 406-329-2945
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Fax | 406-329-2938
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | BECKY MALATARE
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Credential | CPC
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Telephone | 406-329-2887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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