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General NPI Number Information
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NPI Number | 1346917648
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Entity Type | Organization
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Legal Business Name | 406 MEDTECH PLLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 02/10/2025
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Provider Practice Location Address
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Address Line | 500 KAEDING CREEK RD
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City | WHITEFISH
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State | MT
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Zip | 59937-8167
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Country | US
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Telephone | 406-407-4606
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Fax | 406-272-1649
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Provider Business Mailing Address
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Address Line | 500 KAEDING CREEK RD
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City | WHITEFISH
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State | MT
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Zip | 59937-8167
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Country | US
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Telephone | 406-407-4606
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Fax | 406-272-1649
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Authorized Official
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Title or Position | OWNER
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Name | JASON LEEP
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Credential | MD
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Telephone | 406-407-4606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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