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General NPI Number Information
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NPI Number | 1497675797
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Entity Type | Individual
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Provider Name | GABRIELLA SANDRA HARMAN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 350 HERITAGE WAY STE 2300
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City | KALISPELL
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State | MT
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Zip | 59901-3167
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Country | US
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Telephone | 406-751-5455
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Fax |
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Provider Business Mailing Address
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Address Line | 3050 MAIA JANE LN UNIT 2
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City | MISSOULA
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State | MT
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Zip | 59808-8827
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Country | US
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Telephone | 503-964-9094
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MED-PAC-LIC-173143
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License Number State | MT
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