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General NPI Number Information
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NPI Number | 1265603989
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Entity Type | Organization
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Legal Business Name | NORTHERN ROCKIES NEUROMONITORING LLC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 2877 OVERLAND AVE SUITE C
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City | BILLINGS
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State | MT
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Zip | 59102-7465
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Country | US
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Telephone | 406-651-8197
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Fax | 406-651-8196
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Provider Business Mailing Address
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Address Line | 2877 OVERLAND AVE SUITE C
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City | BILLINGS
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State | MT
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Zip | 59102-7465
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Country | US
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Telephone | 406-651-8197
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Fax | 406-651-8196
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN H SCHNEIDER
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Credential | M.D.
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Telephone | 406-651-8197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 4460A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 5973A
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License Number State | WY
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