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General NPI Number Information
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NPI Number | 1316158280
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Entity Type | Organization
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Legal Business Name | ROCKY BOY HEALTH CENTER
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6850 UPPER BOX ELDER RD
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City | BOX ELDER
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State | MT
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Zip | 59521-9073
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Country | US
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Telephone | 406-395-4486
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Fax | 406-395-4408
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Provider Business Mailing Address
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Address Line | 6850 UPPER BOX ELDER RD
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City | BOX ELDER
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State | MT
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Zip | 59521-9073
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Country | US
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Telephone | 406-395-1617
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Fax | 406-395-4408
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Authorized Official
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Title or Position | APPLICATIONS COORDINATOR
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Name | TERESA HESTON
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Credential |
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Telephone | 406-395-4486
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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