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General NPI Number Information
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NPI Number | 1578221644
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Entity Type | Organization
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Legal Business Name | YELLOWSTONE CARE LLC
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 1862 SONGBIRD DR
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City | BILLINGS
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State | MT
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Zip | 59101-7613
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Country | US
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Telephone | 406-559-0300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 556
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City | THREE FORKS
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State | MT
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Zip | 59752-0556
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Country | US
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Telephone | 406-559-0300
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DEBRA SPOJA
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Credential |
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Telephone | 208-999-1196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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