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General NPI Number Information
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NPI Number | 1528856580
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Entity Type | Organization
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Legal Business Name | BITTERROOT INTEGRATIVE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 4039 US HIGHWAY 93 N STE C
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6482
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Country | US
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Telephone | 406-241-2977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 695
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City | STEVENSVILLE
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State | MT
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Zip | 59870-0695
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Country | US
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Telephone | 406-241-2977
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER / OWNER
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Name | RACHELLE WAYDENE RODRIGUEZ
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Credential | FNP
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Telephone | 406-241-2977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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