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General NPI Number Information
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NPI Number | 1831392786
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Entity Type | Individual
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Provider Name | RYAN MICHAEL LUOMA D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 10/09/2024
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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 | 406-731-8888
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Fax | 406-731-8318
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Provider Business Mailing Address
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Address Line | PO BOX 6010
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City | GREAT FALLS
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State | MT
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Zip | 59406-6010
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Country | US
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Telephone | 406-731-8888
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60084454
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | 50438
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License Number State | MT
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