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General NPI Number Information
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NPI Number | 1790787935
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Entity Type | Organization
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Legal Business Name | YELLOWSTONE PATHOLOGY INSTITUTE, INC.
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 09/04/2008
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Provider Practice Location Address
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Address Line | 2900 12TH AVE N STE 295W
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City | BILLINGS
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State | MT
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Zip | 59101-7506
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Country | US
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Telephone | 406-238-6360
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Fax | 406-238-6361
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Provider Business Mailing Address
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Address Line | 2900 12TH AVE N STE 295W
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City | BILLINGS
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State | MT
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Zip | 59101-7504
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Country | US
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Telephone | 406-238-6360
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Fax | 406-238-6361
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. VICKI A MCCARTHY
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Credential | CPA,MBA
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Telephone | 406-238-6360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | CLIA 27D0946844
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License Number State | MT
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