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General NPI Number Information
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NPI Number | 1467904482
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW FAMILY HEALTH CARE, PC
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/25/2016
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Provider Practice Location Address
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Address Line | 2619 COLONIAL DR STE A
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City | HELENA
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State | MT
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Zip | 59601-4948
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Country | US
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Telephone | 406-442-1231
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Fax | 406-442-6857
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Provider Business Mailing Address
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Address Line | 2619 COLONIAL DR STE A
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City | HELENA
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State | MT
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Zip | 59601-4948
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Country | US
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Telephone | 406-442-1231
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Fax | 406-442-6857
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE VAN HORSSEN
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Credential | APRN
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Telephone | 406-442-1231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 017232
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License Number State | MT
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