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General NPI Number Information
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NPI Number | 1326203134
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Entity Type | Organization
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Legal Business Name | BENEFIS SLETTEN HI-LINE CANCER CENTER, LLC
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Dates
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Enumeration Date | 07/21/2008
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 40 13TH ST W
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City | HAVRE
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State | MT
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Zip | 59501-5215
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Country | US
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Telephone | 406-262-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5096
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City | GREAT FALLS
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State | MT
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Zip | 59403-5096
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Country | US
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Telephone | 406-455-5000
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Fax |
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Authorized Official
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Title or Position | CFO/VP
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Name | MR. STEVE A BALLOCK
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Credential |
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Telephone | 406-455-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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