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General NPI Number Information
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NPI Number | 1639614902
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Entity Type | Individual
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Provider Name | BENJAMIN M PIKE CRNA
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Gender | Male
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Dates
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Enumeration Date | 12/22/2016
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2440 WINNE AVE STE 100
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City | HELENA
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State | MT
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Zip | 59601-4913
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Country | US
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Telephone | 406-457-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 STUART ST
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City | HELENA
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State | MT
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Zip | 59601-2331
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Country | US
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Telephone | 406-440-5004
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 226947
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License Number State | MT
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