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General NPI Number Information
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NPI Number | 1184385551
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Entity Type | Organization
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Legal Business Name | FLORENCE DENTAL PC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 5577 US HIGHWAY 93 N
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City | FLORENCE
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State | MT
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Zip | 59833-6845
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Country | US
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Telephone | 406-273-2015
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Fax | 406-273-2782
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | FLORENCE
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State | MT
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Zip | 59833-0368
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Country | US
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Telephone | 406-273-2015
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Fax | 406-273-2782
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PAMELA ANN CROWE
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Credential |
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Telephone | 406-273-2015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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