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General NPI Number Information
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NPI Number | 1467840389
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Entity Type | Organization
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Legal Business Name | WELLNEST, LLC
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Dates
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Enumeration Date | 12/30/2014
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 1010 CENTRAL AVE SUITE 2
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City | BILLINGS
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State | MT
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Zip | 59102-5812
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Country | US
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Telephone | 406-869-1066
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Fax | 406-869-1099
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Provider Business Mailing Address
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Address Line | 1010 CENTRAL AVE SUITE 2
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City | BILLINGS
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State | MT
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Zip | 59102-5812
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Country | US
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Telephone | 406-869-1066
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Fax | 406-869-1099
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Authorized Official
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Title or Position | CEO
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Name | JEANINE E. GRIFFIN
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Credential |
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Telephone | 406-869-1066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 36449
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 32201
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 28537
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License Number State | MT
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