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General NPI Number Information
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NPI Number | 1518067404
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Entity Type | Individual
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Provider Name | RANDALL R HITE PT
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 70 AUGUSTA CIR
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City | GILLETTE
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State | WY
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Zip | 82718-6512
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Country | US
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Telephone | 307-299-6068
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5718
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City | KALISPELL
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State | MT
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Zip | 59903-5718
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Country | US
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Telephone | 406-756-0134
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Fax | 406-300-1612
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTP-PT-LIC-29859
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-0675
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License Number State | WY
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