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General NPI Number Information
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NPI Number | 1134297179
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Entity Type | Organization
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Legal Business Name | INTERMOUNTAIN PLANNED PARENTHOOD INC
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1844 BROADWATER AVE SUITE 4 (PPMT BILLINGS WEST)
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City | BILLINGS
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State | MT
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Zip | 59102
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Country | US
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Telephone | 406-656-9980
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Fax | 406-656-9928
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Provider Business Mailing Address
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Address Line | 1643 LEWIS AVE STE 211
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City | BILLINGS
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State | MT
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Zip | 59102-4151
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Country | US
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Telephone | 406-248-3637
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Fax | 406-254-9330
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Authorized Official
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Title or Position | CLINICAL OPERATIONS COORDINATOR
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Name | JENNIFER PREMO
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Credential |
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Telephone | 406-830-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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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 | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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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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Taxonomy #6
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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