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General NPI Number Information
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NPI Number | 1326351339
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Entity Type | Individual
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Provider Name | HEATHER RENEE BLACK R.N.
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Gender | Female
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 06/05/2021
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Provider Practice Location Address
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Address Line | 760 HOSPITAL CIRCLE
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City | BROWNING
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State | MT
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Zip | 59417
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Country | US
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Telephone | 406-338-6100
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Fax | 406-338-6195
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Provider Business Mailing Address
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Address Line | 232 2ND AVE SE
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City | CUT BANK
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State | MT
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Zip | 59427-3416
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Country | US
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Telephone | 406-845-4993
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 126733
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 126733
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 126733
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 126733
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 31609
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License Number State | AK
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