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General NPI Number Information
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NPI Number | 1568878353
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Entity Type | Organization
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Legal Business Name | BRIDGER EMERGENCY TRAINING CENTER
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 07/01/2014
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Provider Practice Location Address
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Address Line | 1000 CRUISER LN APT I
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City | BELGRADE
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State | MT
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Zip | 59714-8679
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Country | US
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Telephone | 406-579-7248
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 CRUISER LN APT I
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City | BELGRADE
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State | MT
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Zip | 59714-8679
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOEL KELM
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Credential | A-EMT
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Telephone | 406-579-7248
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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