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General NPI Number Information
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NPI Number | 1184797771
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Entity Type | Organization
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Legal Business Name | BILLINGS OTOLARYNGOLOGY PC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N STE 290W
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City | BILLINGS
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State | MT
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Zip | 59101-7501
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Country | US
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Telephone | 406-238-6270
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Fax | 406-238-6279
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Provider Business Mailing Address
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Address Line | 2900 12TH AVE N STE 290W
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City | BILLINGS
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State | MT
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Zip | 59101-7501
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Country | US
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Telephone | 406-238-6270
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Fax | 406-238-6279
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL J BYORTH
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Credential | MD
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Telephone | 406-238-6270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 7754
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License Number State | MT
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