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General NPI Number Information
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NPI Number | 1316535032
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Entity Type | Organization
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Legal Business Name | SCL HEALTH MEDICAL GROUP-BUTTE LLC
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 435 S CRYSTAL ST STE 400
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-496-3400
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Fax | 406-496-3401
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Provider Business Mailing Address
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Address Line | 435 S CRYSTAL ST
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-496-3400
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Fax | 406-496-3401
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Authorized Official
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Title or Position | VP FINANCE MEDICAL GROUP
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Name | JON MCDANIEL
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Credential |
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Telephone | 303-272-0231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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