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General NPI Number Information
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NPI Number | 1518214881
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Entity Type | Individual
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Provider Name | PAMELA KIMBER ELLIS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 1690 RIMROCK RD
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City | BILLINGS
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State | MT
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Zip | 59102-0700
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Country | US
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Telephone | 406-948-8900
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Fax | 406-948-8902
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Provider Business Mailing Address
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Address Line | 242 SHARRON LN
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City | BILLINGS
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State | MT
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Zip | 59105-3735
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Country | US
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Telephone | 719-686-4320
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4934289-9921
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11648
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11648
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4934289-9921
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License Number State | UT
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