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General NPI Number Information
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NPI Number | 1790965085
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Entity Type | Individual
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Provider Name | CHAD JOSEPH BAARSON D.O.
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Gender | Male
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1101 26TH ST S
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City | GREAT FALLS
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State | MT
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Zip | 59405-5161
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Country | US
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Telephone | 406-455-5000
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Fax | 406-731-8318
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Provider Business Mailing Address
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Address Line | 1101 26TH ST S
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City | GREAT FALLS
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State | MT
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Zip | 59405-5161
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Country | US
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Telephone | 406-455-5000
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Fax | 406-731-8318
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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 | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 87731
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 02003271A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 87731
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License Number State | MT
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