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General NPI Number Information
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NPI Number | 1497929590
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Entity Type | Organization
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Legal Business Name | BILL S. ROSEN MD, PC
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 2100 S HIGGINS AVE
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City | MISSOULA
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State | MT
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Zip | 59801-6761
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Country | US
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Telephone | 406-721-2344
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Fax | 406-493-0666
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Provider Business Mailing Address
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Address Line | PO BOX 5124
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City | MISSOULA
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State | MT
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Zip | 59806-5124
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Country | US
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Telephone | 406-721-2344
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Fax | 406-493-0666
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATHERINE H HESCH
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Credential | RN
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Telephone | 406-721-2344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | MT7111
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License Number State | MT
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