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General NPI Number Information
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NPI Number | 1699613273
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Entity Type | Individual
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Provider Name | HUNTER LAWRENCE BURSHIA ACLC
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Gender | Male
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 213 6TH AVE S
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City | WOLF POINT
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State | MT
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Zip | 59201-1517
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Country | US
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Telephone | 406-653-1200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 407
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City | POPLAR
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State | MT
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Zip | 59255-0407
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Country | US
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Telephone | 406-768-2202
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | BBH-ACLC-LIC-87991
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License Number State | MT
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