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General NPI Number Information
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NPI Number | 1154912822
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Entity Type | Organization
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Legal Business Name | TIGRIS NEPHROLOGY PLLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 02/02/2023
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Provider Practice Location Address
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Address Line | 2835 FORT MISSOULA RD, BUILDING 3, STE 203
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City | MISSOULA
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State | MT
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Zip | 59804-7424
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Country | US
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Telephone | 605-290-6832
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 FORT MISSOULA RD STE 203
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City | MISSOULA
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State | MT
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Zip | 59804-7424
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Country | US
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Telephone | 406-237-4283
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHAHID CHAUDHARY
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Credential | MD
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Telephone | 605-290-6832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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