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General NPI Number Information
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NPI Number | 1407215684
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Entity Type | Organization
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Legal Business Name | BLACKFEET TRIBE
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 640 ALL CHIEFS RD
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City | BROWNING
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State | MT
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Zip | 59417-5091
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Country | US
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Telephone | 406-338-4696
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Fax | 406-338-2491
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Provider Business Mailing Address
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Address Line | 640 ALL CHIEFS RD
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City | BROWNING
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State | MT
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Zip | 59417-5091
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Country | US
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Telephone | 406-845-6284
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Fax | 406-338-2491
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Authorized Official
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Title or Position | COUNCIL MEMBER
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Name | THOMAS LYLE RUTHERFORD JR.
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Credential |
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Telephone | 406-338-7521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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