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General NPI Number Information
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NPI Number | 1326251414
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Entity Type | Organization
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Legal Business Name | WILLIAM L. TONIDANDEL, M.D., PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 1 MEDICAL PARK DR
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City | HELENA
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State | MT
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Zip | 59601-8022
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Country | US
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Telephone | 406-457-8244
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Fax | 406-457-8236
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Provider Business Mailing Address
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Address Line | 433 CLARKE ST
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City | HELENA
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State | MT
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Zip | 59601-6227
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Country | US
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Telephone | 406-457-8244
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Fax | 406-457-8236
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | WILLIAM L TONIDANDEL
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Credential | M.D.
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Telephone | 406-457-8244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 10314
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License Number State | MT
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