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General NPI Number Information
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NPI Number | 1558208215
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN RHEUMATOLOGY PLLC
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 2507 6TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-3013
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Country | US
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Telephone | 406-868-1784
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Fax |
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Provider Business Mailing Address
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Address Line | 14 GEMINI CT
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City | GREAT FALLS
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State | MT
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Zip | 59404-6367
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Country | US
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Telephone | 406-868-1784
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | STACEY JOHNSON
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Credential | FNP-C
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Telephone | 406-868-1784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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