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General NPI Number Information
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NPI Number | 1245512730
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Entity Type | Organization
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Legal Business Name | SLEEP HEALTH MONTANA PC
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 910 BROOKS ST SUITE 202
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City | MISSOULA
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State | MT
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Zip | 59801-5783
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Country | US
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Telephone | 406-541-8060
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Fax | 406-541-8062
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Provider Business Mailing Address
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Address Line | 910 BROOKS ST SUITE 202
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City | MISSOULA
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State | MT
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Zip | 59801-5783
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Country | US
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Telephone | 406-541-8060
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Fax | 406-541-8062
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MICHAEL J. SILVERGLAT
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Credential | M.D.
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Telephone | 406-541-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084S0012X
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Taxonomy Name | Sleep Medicine (Psychiatry & Neurology) Physician
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License Number | 5005
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License Number State | MT
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