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General NPI Number Information
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NPI Number | 1144276635
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Entity Type | Organization
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Legal Business Name | VALERIE ANN KNUDSEN MD FACOG PLLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 2831 FORT MISSOULA RD SUITE 306
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City | MISSOULA
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State | MT
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Zip | 59804-7419
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Country | US
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Telephone | 406-327-4395
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Fax | 406-327-4394
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Provider Business Mailing Address
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Address Line | PO BOX 1130
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City | HELENA
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State | MT
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Zip | 59624-1130
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Country | US
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Telephone | 406-443-3076
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Fax | 406-449-6531
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Authorized Official
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Title or Position | MEDICAL BILLING AGENT
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Name | PAULA J HANIG
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Credential | CPC, CHBME
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Telephone | 406-443-3076
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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 | 5310
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License Number State | MT
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