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General NPI Number Information
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NPI Number | 1275668071
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Entity Type | Organization
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Legal Business Name | BILLINGS FOOT AND ANKLE
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/22/2009
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Provider Practice Location Address
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Address Line | 71 25TH ST W SUITE 12
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City | BILLINGS
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State | MT
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Zip | 59102-4684
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Country | US
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Telephone | 406-651-0767
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Fax | 406-652-0174
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Provider Business Mailing Address
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Address Line | 71 25TH ST W PO BOX 20919
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City | BILLINGS
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State | MT
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Zip | 59102-4684
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Country | US
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Telephone | 406-651-0767
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Fax | 406-652-0174
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL OURADNIK
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Credential | DPM
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Telephone | 406-651-0767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 162
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License Number State | MT
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