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NPI 1407418080

NPI 1407418080 : LORI LYN STRICKLER : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1407418080
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    Entity Type          |    Individual 
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    Provider Name        |    LORI LYN STRICKLER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/03/2019
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    Last Update Date     |    07/03/2019
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Provider Practice Location Address
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    Address Line         |    2901 MONAD ROAD APT. 99
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102
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    Country              |    US
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    Telephone            |    406-530-4040
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2901 MONAD ROAD APT. 99
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59102
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    Country              |    US
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    Telephone            |    406-530-4040
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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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    130
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    License Number State |    MT
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