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General NPI Number Information
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NPI Number | 1750434676
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Entity Type | Individual
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Provider Name | CHAD M ENGAN MD FACS
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Gender | Male
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 400 13TH AVE S STE 102
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City | GREAT FALLS
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State | MT
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Zip | 59405-4300
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Country | US
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Telephone | 406-731-8888
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Fax | 406-731-8318
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Provider Business Mailing Address
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Address Line | 400 13TH AVE S SUITE 102 GREAT FALLS SURGICAL ASSOCIATES
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City | GREAT FALLS
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State | MT
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Zip | 59405-4300
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Country | US
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Telephone | 406-452-0877
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Fax | 406-452-2989
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10335
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License Number State | MT
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