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General NPI Number Information
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NPI Number | 1669405809
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Entity Type | Individual
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Provider Name | DAWNA L WELLS PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N STE 160W
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City | BILLINGS
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State | MT
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Zip | 59101-7506
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Country | US
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Telephone | 406-238-6290
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Fax | 406-238-6961
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Provider Business Mailing Address
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Address Line | PO BOX 30976
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City | BILLINGS
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State | MT
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Zip | 59107-0976
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Country | US
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Telephone | 406-238-6290
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Fax | 406-238-6961
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 77
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 77
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License Number State | MT
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