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General NPI Number Information
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NPI Number | 1316225071
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Entity Type | Organization
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Legal Business Name | BILLINGS CLINIC
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Dates
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Enumeration Date | 07/29/2011
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 5000 SOUTHGATE DR
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City | BILLINGS
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State | MT
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Zip | 59101-4614
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Country | US
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Telephone | 406-238-5497
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35100
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City | BILLINGS
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State | MT
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Zip | 59107-5100
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Country | US
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Telephone | 406-238-2500
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | KATHLEEN ROSSIE QUINONES
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Credential |
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Telephone | 406-435-6445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 12191
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License Number State | MT
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