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General NPI Number Information
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NPI Number | 1467518761
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Entity Type | Organization
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Legal Business Name | COUNTY OF WIBAUX
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 203 S WIBAUX ST
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City | WIBAUX
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State | MT
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Zip | 59353
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Country | US
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Telephone | 406-796-2485
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Fax | 406-796-2625
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Provider Business Mailing Address
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Address Line | PO BOX 117
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City | WIBAUX
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State | MT
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Zip | 59353-0117
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Country | US
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Telephone | 406-796-2485
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Fax | 406-796-7685
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | DR. DARRYL ESPELAND
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Credential | D.O.
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Telephone | 406-796-2485
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | MT
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