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General NPI Number Information
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NPI Number | 1487752655
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Entity Type | Individual
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Provider Name | HUGH ELLIOTT HETHERINGTON M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 3687 VETERANS DR # 87
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City | FORT HARRISON
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State | MT
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Zip | 59636-9700
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Country | US
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Telephone | 406-447-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 2047 N LAST CHANCE GULCH STE 369
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City | HELENA
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State | MT
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Zip | 59601-0744
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Country | US
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Telephone | 406-581-5328
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Fax | 406-289-9606
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 6361
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 6361
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 6361
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License Number State | MT
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