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General NPI Number Information
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NPI Number | 1124786892
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Entity Type | Organization
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Legal Business Name | THE LAST BEST CLINIC PLLC
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 820 N MONTANA AVE STE A1
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City | HELENA
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State | MT
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Zip | 59601-4185
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Country | US
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Telephone | 406-992-2570
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Fax |
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Provider Business Mailing Address
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Address Line | 820 N MONTANA AVE STE A1
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City | HELENA
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State | MT
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Zip | 59601-4185
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Country | US
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Telephone | 406-992-2570
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON GARDNER
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Credential |
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Telephone | 406-992-2570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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