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General NPI Number Information
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NPI Number | 1528118981
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Entity Type | Organization
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Legal Business Name | LIVINGSTON HEALTHCARE
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 504 S 13TH ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-3727
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Country | US
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Telephone | 406-823-6429
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Fax |
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Provider Business Mailing Address
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Address Line | 504 S 13TH ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-3727
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Country | US
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Telephone | 406-823-6429
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. SAMUEL G PLESHAR
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Credential |
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Telephone | 406-222-3541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 10657
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License Number State | MT
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