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General NPI Number Information
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NPI Number | 1508674318
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Entity Type | Organization
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Legal Business Name | R. STEPHEN IRWIN MD, PLLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 29822 SMUGGLERS POINT RD
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City | POLSON
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State | MT
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Zip | 59860
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Country | US
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Telephone | 406-887-2415
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Fax |
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Provider Business Mailing Address
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Address Line | 29822 SMUGGLERS POINT RD
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City | POLSON
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State | MT
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Zip | 59860
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Country | US
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Telephone | 406-887-2415
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RICHARD STEPHEN IRWIN
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Credential | MD
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Telephone | 406-887-2415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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