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General NPI Number Information
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NPI Number | 1245222306
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Entity Type | Organization
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Legal Business Name | LIVINGSTON HEALTHCARE
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 09/28/2017
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Provider Practice Location Address
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Address Line | 320 ALPENGLOW LN
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City | LIVINGSTON
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State | MT
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Zip | 59047-8506
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Country | US
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Telephone | 406-222-3541
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Fax | 406-222-7606
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Provider Business Mailing Address
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Address Line | 320 ALPENGLOW LN
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City | LIVINGSTON
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State | MT
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Zip | 59047-8506
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Country | US
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Telephone | 406-823-6414
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Fax | 406-823-6287
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Authorized Official
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Title or Position | CEO
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Name | BREN LOWE
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Credential |
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Telephone | 406-823-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 12556
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License Number State | MT
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