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NPI 1588799860

NPI 1588799860 : TROY R YPMA O.D. : COLUMBIA FALLS, MT

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General NPI Number Information
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    NPI Number           |    1588799860
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    Entity Type          |    Individual 
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    Provider Name        |    TROY R YPMA O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2007
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    1128 3RD AVE E 
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    City                 |    COLUMBIA FALLS
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    State                |    MT
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    Zip                  |    59912-3607
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    Country              |    US
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    Telephone            |    406-892-4140
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    Fax                  |    406-892-4146
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Provider Business Mailing Address
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    Address Line         |    1128 3RD AVE E 
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    City                 |    COLUMBIA FALLS
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    State                |    MT
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    Zip                  |    59912
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    Country              |    US
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    Telephone            |    406-892-4140
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    Fax                  |    406-892-4146
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    768
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    License Number State |    MT
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