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General NPI Number Information
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NPI Number | 1124180468
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Entity Type | Organization
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Legal Business Name | THE LAZY MS, LLC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2509 7TH AVE S STE C3
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City | GREAT FALLS
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State | MT
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Zip | 59405-3031
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Country | US
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Telephone | 406-771-7800
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Fax | 406-771-6883
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Provider Business Mailing Address
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Address Line | 2509 7TH AVE S STE C3
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City | GREAT FALLS
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State | MT
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Zip | 59405-3031
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Country | US
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Telephone | 406-771-7800
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Fax | 406-771-6883
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Authorized Official
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Title or Position | DIRECTOR
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Name | ALFRED GUY EDWARDS
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Credential | PT
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Telephone | 406-771-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1660PT
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1660PT
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License Number State | MT
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