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General NPI Number Information
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NPI Number | 1508656521
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Entity Type | Organization
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Legal Business Name | COUNTY OF MISSOULA
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 301 W ALDER ST
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City | MISSOULA
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State | MT
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Zip | 59802-4123
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Country | US
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Telephone | 406-258-3363
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Fax | 406-258-4913
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Provider Business Mailing Address
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Address Line | 301 W ALDER ST
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City | MISSOULA
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State | MT
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Zip | 59802-4123
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Country | US
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Telephone | 406-258-3363
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Fax | 406-258-4913
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | KIM BOMBARD
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Credential |
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Telephone | 406-258-4987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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