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General NPI Number Information
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NPI Number | 1124346986
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Entity Type | Organization
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Legal Business Name | BIG SKY PSYCHIATRIC SERVICES PC
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 820 DIVISION ST
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City | BILLINGS
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State | MT
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Zip | 59101-2049
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Country | US
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Telephone | 406-294-5225
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Fax | 406-294-5226
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Provider Business Mailing Address
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Address Line | PO BOX 21457
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City | BILLINGS
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State | MT
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Zip | 59104-1457
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Country | US
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Telephone | 406-294-5225
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Fax | 406-294-5226
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. TROY R STILES
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Credential | DO
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Telephone | 406-294-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 12326
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License Number State | MT
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