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General NPI Number Information
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NPI Number | 1760509384
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Entity Type | Individual
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Provider Name | IAN ADDISON NESBIT NATUROPATH ND
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2016 STRAND AVE
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City | MISSOULA
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State | MT
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Zip | 59801-5435
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Country | US
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Telephone | 406-728-0978
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Fax | 406-728-0978
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Provider Business Mailing Address
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Address Line | PO BOX 4074
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City | MISSOULA
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State | MT
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Zip | 59806-4074
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Country | US
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Telephone | 406-541-7672
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Fax | 406-541-0672
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State | MT
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