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General NPI Number Information
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NPI Number | 1295925014
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Entity Type | Organization
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Legal Business Name | PEAK ORTHOPEDICS AND SPORTS MEDICINE PLLC
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 1111 BAKER AVE SUITE 2
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City | WHITEFISH
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State | MT
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Zip | 59937-2908
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Country | US
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Telephone | 406-863-9340
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Fax | 406-863-9342
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Provider Business Mailing Address
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Address Line | PO BOX 2053
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City | WHITEFISH
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State | MT
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Zip | 59937-2908
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Country | US
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Telephone | 406-863-9340
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Fax | 406-863-9342
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID J. SOBBA
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Credential | MD
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Telephone | 406-863-9340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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