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General NPI Number Information
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NPI Number | 1568583391
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Entity Type | Organization
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Legal Business Name | HI-LINE MEDICAL SERVICES
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 621 3RD ST S
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City | GLASGOW
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State | MT
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Zip | 59230-2604
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Country | US
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Telephone | 406-228-3536
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Fax | 406-228-3537
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Provider Business Mailing Address
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Address Line | 621 3RD ST S
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City | GLASGOW
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State | MT
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Zip | 59230-2604
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Country | US
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Telephone | 406-228-3536
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Fax | 406-228-3537
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Authorized Official
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Title or Position | CEO
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Name | RANDALL G HOLOM
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Credential |
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Telephone | 406-228-3601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11017
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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