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General NPI Number Information
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NPI Number | 1386423986
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Entity Type | Organization
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Legal Business Name | WEST ORTHODONTICS PC
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Dates
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Enumeration Date | 09/25/2023
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 1301 12TH AVE S STE 204
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City | GREAT FALLS
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State | MT
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Zip | 59405-4600
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Country | US
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Telephone | 406-761-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 11 WILLOW CREEK RD
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City | BELT
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State | MT
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Zip | 59412-8112
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Country | US
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Telephone | 406-899-8551
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CODY WEST
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Credential |
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Telephone | 406-899-8551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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