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General NPI Number Information
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NPI Number | 1295959609
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Entity Type | Organization
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Legal Business Name | NATURAL MEDICINE CONSULTANTS
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 2516 S 14TH ST W
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City | MISSOULA
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State | MT
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Zip | 59804-4750
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Country | US
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Telephone | 406-549-0005
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Fax | 406-549-1753
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Provider Business Mailing Address
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Address Line | 2516 S 14TH ST W
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City | MISSOULA
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State | MT
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Zip | 59804-4750
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Country | US
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Telephone | 406-549-0005
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Fax | 406-549-1753
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JAMISON STARBUCK
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Credential | N.D.
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Telephone | 406-549-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 24
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License Number State | MT
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