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General NPI Number Information
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NPI Number | 1336491026
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Entity Type | Individual
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Provider Name | KAMI E DOAK PA
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Gender | Female
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Dates
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Enumeration Date | 10/05/2012
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 123 S 27TH ST
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-247-3350
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Fax | 406-247-3389
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Provider Business Mailing Address
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Address Line | 123 S 27TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-4227
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Country | US
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Telephone | 406-247-3350
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Fax | 406-247-3389
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PAC0498
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 41101
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License Number State | MT
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