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General NPI Number Information
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NPI Number | 1194785154
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Entity Type | Organization
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Legal Business Name | ST. PETER'S HEALTH
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 435 S CRYSTAL ST
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-723-0023
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Fax | 406-723-8123
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Provider Business Mailing Address
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Address Line | 435 S CRYSTAL ST STE 300
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-723-0023
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Fax | 406-723-8123
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Authorized Official
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Title or Position | SR DIRECTOR OF REVENUE CYCLE
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Name | DEVON RICHARD MURRAY
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Credential |
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Telephone | 406-447-2787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 9772
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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