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General NPI Number Information
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NPI Number | 1568708360
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Entity Type | Organization
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Legal Business Name | BIG SKY ANESTHETICS PC
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Dates
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Enumeration Date | 12/26/2012
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Last Update Date | 01/30/2013
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Provider Practice Location Address
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Address Line | 3116 SADDLE DR SUITE #2
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City | HELENA
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State | MT
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Zip | 59601-8645
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Country | US
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Telephone | 406-449-9100
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Fax | 406-502-1525
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Provider Business Mailing Address
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Address Line | 5611 RAINBOW DR
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City | HELENA
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State | MT
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Zip | 59602-9574
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Country | US
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Telephone | 406-465-5751
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS K FORD
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Credential | D.O.
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Telephone | 406-465-5751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 6345139-002-WTH
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License Number State | MT
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