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NPI 1639098650

NPI 1639098650 : SPAULDING ANESTHESIA LLC : KALISPELL, MT

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General NPI Number Information
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    NPI Number           |    1639098650
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPAULDING ANESTHESIA LLC 
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Dates
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    Enumeration Date     |    07/13/2026
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    3201 US HIGHWAY 93 N STE 2 
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    City                 |    KALISPELL
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    State                |    MT
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    Zip                  |    59901-9619
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    Country              |    US
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    Telephone            |    719-640-6860
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    233 WOODLAND PL 
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    City                 |    WHITEFISH
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    State                |    MT
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    Zip                  |    59937-2250
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    Country              |    US
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    Telephone            |    719-640-6860
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CARLYE HALLET SPAULDING 
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    Credential           |    CRNA
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    Telephone            |    719-640-6860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP3300X
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    Taxonomy Name        |    Pain Clinic/Center
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    License Number       |    
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    License Number State |    
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