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General NPI Number Information
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NPI Number | 1164610937
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Entity Type | Organization
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Legal Business Name | MAYSEPT INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 3511 1ST AVE N
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City | GREAT FALLS
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State | MT
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Zip | 59401-3504
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Country | US
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Telephone | 406-216-3211
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Fax | 406-216-3212
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Provider Business Mailing Address
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Address Line | 3511 1ST AVE N
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City | GREAT FALLS
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State | MT
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Zip | 59401-3504
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Country | US
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Telephone | 406-216-3211
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Fax | 406-216-3212
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. STEVEN FRAZIER ARNOLD
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Credential | APRN
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Telephone | 406-216-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | RN24090
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License Number State | MT
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