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General NPI Number Information
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NPI Number | 1689523581
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Entity Type | Individual
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Provider Name | JACQUELINE NOEL VIRGILIO
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Gender | Female
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 505 MONTANA ST APT 2
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City | BELGRADE
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State | MT
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Zip | 59714-4055
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Country | US
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Telephone | 406-606-0649
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | BELGRADE
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State | MT
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Zip | 59714-0261
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Country | US
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Telephone |
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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 | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | RN-178323
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License Number State | MT
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