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General NPI Number Information
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NPI Number | 1134810526
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Entity Type | Organization
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Legal Business Name | CONNECTIONS MEDICAL OF MT PLLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 901 N ROUSE AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-2930
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Country | US
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Telephone | 602-416-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 S 7TH AVE STE 105
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City | PHOENIX
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State | AZ
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Zip | 85007-3913
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Country | US
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Telephone | 602-416-7652
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, CREDENTIALING
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Name | CHERYL BOYLE
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Credential |
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Telephone | 737-600-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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