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General NPI Number Information
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NPI Number | 1700841277
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Entity Type | Individual
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Provider Name | ROBERT H ANDERSON PA C
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 1518 CHOUTEAU ST
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City | FORT BENTON
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State | MT
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Zip | 59442-9003
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Country | US
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Telephone | 406-622-5485
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Fax | 406-622-5670
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Provider Business Mailing Address
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Address Line | PO BOX 5096
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City | GREAT FALLS
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State | MT
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Zip | 59403-5096
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Country | US
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Telephone | 406-622-5485
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA-289
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 155263
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License Number State | MT
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