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General NPI Number Information
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NPI Number | 1376574871
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Entity Type | Individual
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Provider Name | MARC C MENTEL DO
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 1201 WYOMING ST
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City | MISSOULA
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State | MT
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Zip | 59801-1727
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Country | US
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Telephone | 406-532-9900
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Fax | 406-532-9901
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Provider Business Mailing Address
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Address Line | 96 N WEAVER ST UNIT 440
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City | BELGRADE
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State | MT
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Zip | 59714-7018
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Country | US
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Telephone | 406-219-7233
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Fax | 888-798-0145
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 10584
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10584
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License Number State | MT
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