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General NPI Number Information
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NPI Number | 1154995694
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Entity Type | Organization
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Legal Business Name | NORTHERN MONTANA FOOT AND ANKLE SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 3171 HWY 93 N SUITE B
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 801-400-2269
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Fax |
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Provider Business Mailing Address
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Address Line | 3171 US HIGHWAY 93 N STE B
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City | KALISPELL
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State | MT
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Zip | 59901
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Country | US
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Telephone | 801-400-2269
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN ALLAN WEBB
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Credential | DPM
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Telephone | 801-400-2269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number |
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License Number State |
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