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General NPI Number Information
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NPI Number | 1598418626
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Entity Type | Individual
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Provider Name | CODY ALAN RUMMEL
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Gender | Male
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Dates
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Enumeration Date | 01/29/2022
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Last Update Date | 07/02/2023
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Provider Practice Location Address
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Address Line | 820 N MONTANA AVE # 3856
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City | HELENA
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State | MT
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Zip | 59601-4185
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Country | US
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Telephone | 406-443-7733
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Fax |
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Provider Business Mailing Address
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Address Line | 820 N MONTANA AVE # 3856
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City | HELENA
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State | MT
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Zip | 59601-4185
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Country | US
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Telephone | 406-443-7733
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-216822
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NUR-RN-LIC-102002
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License Number State | MT
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