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General NPI Number Information
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NPI Number | 1235378993
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Entity Type | Organization
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Legal Business Name | BIG SKY PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 316 W SPRUCE ST
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City | MISSOULA
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State | MT
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Zip | 59802
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Country | US
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Telephone | 406-541-9500
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Fax | 406-541-9501
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Provider Business Mailing Address
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Address Line | 320 W BROADWAY ST
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City | MISSOULA
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State | MT
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Zip | 59802-4175
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Country | US
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Telephone | 406-541-9500
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Fax | 406-541-9501
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DAWN MARIE CHRISTIAN
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Credential | P.T.
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Telephone | 406-240-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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