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General NPI Number Information
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NPI Number | 1205901212
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Entity Type | Organization
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Legal Business Name | FERGUS COUNTY
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 505 W MAIN ST SUITE 108
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City | LEWISTOWN
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State | MT
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Zip | 59457-5703
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Country | US
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Telephone | 406-535-8811
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Fax | 406-535-8811
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Provider Business Mailing Address
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Address Line | 505 W MAIN ST SUITE 108
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City | LEWISTOWN
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State | MT
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Zip | 59457-5703
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Country | US
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Telephone | 406-535-8811
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Fax | 406-535-8811
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUE IRVIN
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Credential |
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Telephone | 406-535-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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