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General NPI Number Information
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NPI Number | 1396462503
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Entity Type | Organization
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Legal Business Name | BILLINGS CLINIC -FERTILITY SPECIALISTS
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Dates
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Enumeration Date | 10/27/2022
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1001 OAK ST
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City | BOZEMAN
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State | MT
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Zip | 59715-8762
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Country | US
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Telephone | 406-551-6008
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 OAK ST
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City | BOZEMAN
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State | MT
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Zip | 59715-8762
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Country | US
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Telephone | 914-924-1426
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | LESA MILLER
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Credential |
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Telephone | 406-625-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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