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General NPI Number Information
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NPI Number | 1285073403
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Entity Type | Organization
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Legal Business Name | RIMROCK FOUNDATION
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Dates
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Enumeration Date | 06/20/2013
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 1231 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0122
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Country | US
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Telephone | 406-248-3175
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Fax |
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Provider Business Mailing Address
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Address Line | 1231 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0122
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Country | US
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Telephone | 406-248-3175
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Fax |
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Authorized Official
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Title or Position | INPATIENT SUPERVISOR
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Name | MALCOLM HORN
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Credential |
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Telephone | 406-248-3175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | LAC1213
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License Number State | MT
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