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General NPI Number Information
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NPI Number | 1396828059
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Entity Type | Individual
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Provider Name | ROGER G. SANTALA MD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 801 N 29TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0905
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Country | US
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Telephone | 406-238-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 931 HIGHLAND BLVD STE 3130
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City | BOZEMAN
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State | MT
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Zip | 59715-6914
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Country | US
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Telephone | 406-414-5070
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 6020
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License Number State | MT
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