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General NPI Number Information
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NPI Number | 1376668749
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Entity Type | Organization
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Legal Business Name | KALISPELL REGIONAL MEDICAL CENTER
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 310 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3129
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Country | US
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Telephone | 406-752-1761
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Fax | 406-756-3528
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Provider Business Mailing Address
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Address Line | 310 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3129
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Country | US
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Telephone | 406-752-1761
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Fax | 406-756-3528
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | CHARLES PEARCE
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Credential |
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Telephone | 406-754-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 1127
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License Number State | MT
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