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General NPI Number Information
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NPI Number | 1376765826
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Entity Type | Organization
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Legal Business Name | BEARTOOTH ORTHOPAEDIC & SPINE PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 05/09/2017
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Provider Practice Location Address
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Address Line | 702 PLATINUM AVE
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City | CODY
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State | WY
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Zip | 82414-3423
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Country | US
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Telephone | 307-250-6052
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Fax |
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Provider Business Mailing Address
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Address Line | 702 PLATINUM AVE
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City | CODY
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State | WY
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Zip | 82414-3423
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN F. EMERY
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Credential | M.D.
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Telephone | 307-250-2523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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