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General NPI Number Information
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NPI Number | 1770994139
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Entity Type | Organization
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Legal Business Name | FLATHEAD VALLEY ORTHOPEDIC CENTER, P.C.
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Dates
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Enumeration Date | 05/19/2014
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Last Update Date | 05/19/2014
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Provider Practice Location Address
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Address Line | 710 E 13TH ST
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City | WHITEFISH
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State | MT
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Zip | 59937-2981
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Country | US
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Telephone | 406-862-8045
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SUNNYVIEW LN
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City | KALISPELL
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State | MT
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Zip | 59901-3164
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Country | US
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Telephone | 406-752-7900
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Fax | 406-257-0253
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Authorized Official
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Title or Position | OWNER
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Name | DONALD ERICKSEN
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Credential | M.D.
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Telephone | 406-752-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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