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General NPI Number Information
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NPI Number | 1215727524
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Entity Type | Organization
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Legal Business Name | PORTERCARE ADVENTIST HEALTH SYSTEM
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 616 N 25TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-1040
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Country | US
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Telephone | 303-778-5797
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Fax | 303-778-5205
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Provider Business Mailing Address
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Address Line | PO BOX 713425
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City | CHICAGO
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State | IL
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Zip | 60677-4325
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Country | US
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Telephone | 800-953-0104
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. JASON TACHA
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Credential |
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Telephone | 303-304-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204F00000X
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Taxonomy Name | Transplant Surgery Physician
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License Number |
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License Number State |
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