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General NPI Number Information
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NPI Number | 1801065396
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Entity Type | Organization
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Legal Business Name | DAHL MEMORIAL HEALTHCARE ASSOCIATION INC
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 106 E PARK ST
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City | EKALAKA
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State | MT
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Zip | 59324-0046
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Country | US
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Telephone | 406-775-8730
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Fax | 406-775-6479
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Provider Business Mailing Address
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Address Line | PO BOX 46
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City | EKALAKA
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State | MT
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Zip | 59324-0046
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Country | US
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Telephone | 406-775-8738
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Fax | 406-775-6479
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Authorized Official
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Title or Position | CEO
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Name | MR. RYAN TOOKE
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Credential |
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Telephone | 406-775-8739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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