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NPI 1457175069

NPI 1457175069 : LONI R CONLEY RN, BSN : COLUMBIA FALLS, MT

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General NPI Number Information
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    NPI Number           |    1457175069
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    Entity Type          |    Individual 
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    Provider Name        |    LONI R CONLEY RN, BSN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/11/2024
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    1100 DOROTHY ST 
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    City                 |    COLUMBIA FALLS
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    State                |    MT
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    Zip                  |    59912-3135
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    Country              |    US
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    Telephone            |    406-471-1985
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 145 
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    City                 |    COLUMBIA FALLS
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    State                |    MT
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    Zip                  |    59912-0145
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    Country              |    US
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    Telephone            |    406-471-1985
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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        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    NUR-RN-LIC-46287
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    License Number State |    MT
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Taxonomy #2
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    Taxonomy Code        |    364S00000X
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    Taxonomy Name        |    Clinical Nurse Specialist
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    License Number       |    NUR-RN-LIC-46287
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    License Number State |    MT
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