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General NPI Number Information
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NPI Number | 1821324971
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Entity Type | Organization
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Legal Business Name | SCHOOL DISTRICT #1 BIG TIMBER GRADE SCHOOL
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 501 ANDERSON ST
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City | BIG TIMBER
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State | MT
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Zip | 59011-9500
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Country | US
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Telephone | 406-932-5939
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Fax | 406-932-4069
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Provider Business Mailing Address
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Address Line | 501 ANDERSON ST PO BOX 887
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City | BIG TIMBER
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State | MT
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Zip | 59011-9500
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Country | US
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Telephone | 406-932-5939
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Fax | 406-932-4069
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MARK KETCHAM
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Credential |
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Telephone | 406-932-5939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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