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General NPI Number Information
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NPI Number | 1629027065
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Entity Type | Individual
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Provider Name | LARRY R PLANT PT
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 1219 TULIP LANE
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City | MISSOULA
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State | MT
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Zip | 59802
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Country | US
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Telephone | 406-728-8260
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Fax | 406-728-8260
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Provider Business Mailing Address
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Address Line | 1219 TULIP LN
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City | MISSOULA
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State | MT
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Zip | 59802-3048
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Country | US
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Telephone | 406-240-2172
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Fax | 406-728-8260
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 571
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License Number State | MT
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