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General NPI Number Information
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NPI Number | 1366594152
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Entity Type | Organization
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Legal Business Name | HEMATOLOGY ONCOLOGY CENTERS OF THE NORTHERN ROCKIES PC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 532 VAL VISTA ST STE 103
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City | SHERIDAN
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State | WY
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Zip | 82801-3655
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Country | US
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Telephone | 307-674-5400
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Fax | 307-674-5405
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Provider Business Mailing Address
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Address Line | PO BOX 30976
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City | BILLINGS
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State | MT
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Zip | 59107-0976
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Country | US
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Telephone | 406-238-6290
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Fax | 406-238-6961
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Authorized Official
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Title or Position | CEO
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Name | CATHY BEALER
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Credential |
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Telephone | 406-238-6285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | WY
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