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General NPI Number Information
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NPI Number | 1689793614
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Entity Type | Organization
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Legal Business Name | BUTTE FAMILY PLANNING
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 25 W FRONT ST
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City | BUTTE
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State | MT
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Zip | 59701-2801
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Country | US
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Telephone | 406-497-5080
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Fax | 406-497-5099
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Provider Business Mailing Address
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Address Line | 25 W FRONT ST
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City | BUTTE
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State | MT
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Zip | 59701-2801
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Country | US
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Telephone | 406-497-5080
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Fax | 406-497-5099
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Authorized Official
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Title or Position | DIRECTOR
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Name | TINA RANDALL
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Credential |
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Telephone | 406-497-5001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN14715
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN11730
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License Number State | MT
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