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General NPI Number Information
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NPI Number | 1457567679
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Entity Type | Individual
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Provider Name | BONNIE RAE LANKFORD RMT
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 345 GROS VENTRE AVE
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City | HARLEM
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State | MT
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Zip | 59526
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Country | US
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Telephone | 406-353-3100
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Fax | 406-353-3229
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Provider Business Mailing Address
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Address Line | 412 2ND AVE W BOX 87
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City | DODSON
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State | MT
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Zip | 59524
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Country | US
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Telephone | 406-383-4339
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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 | 246RM2200X
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Taxonomy Name | Medical Laboratory Technician
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License Number | 584
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License Number State | MT
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