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NPI 1346846243

NPI 1346846243 : HALIEGH SUZANNE COMBS CD(DONA) : GREAT FALLS, MT

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General NPI Number Information
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    NPI Number           |    1346846243
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    Entity Type          |    Individual 
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    Provider Name        |    HALIEGH SUZANNE COMBS CD(DONA)
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/07/2020
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    Last Update Date     |    12/07/2020
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Provider Practice Location Address
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    Address Line         |    2717 8TH AVE N 
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    City                 |    GREAT FALLS
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    State                |    MT
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    Zip                  |    59401-2057
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    Country              |    US
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    Telephone            |    406-334-7309
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    Fax                  |    406-315-3466
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Provider Business Mailing Address
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    Address Line         |    2717 8TH AVE N 
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    City                 |    GREAT FALLS
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    State                |    MT
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    Zip                  |    59401-2057
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    Country              |    US
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    Telephone            |    406-334-7309
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    Fax                  |    406-315-3466
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    14274
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    License Number State |    IL
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