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General NPI Number Information
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NPI Number | 1831533355
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Entity Type | Organization
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Legal Business Name | GUARDIAN HEALTHCARE CENTERS
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 39 STEVENSVILLE CUTOFF RD SUITE A
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6496
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Country | US
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Telephone | 406-361-1882
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Fax | 206-892-9678
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Provider Business Mailing Address
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Address Line | 39 STEVENSVILLE CUTOFF RD SUITE A
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6496
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Country | US
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Telephone | 406-361-1882
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Fax | 206-892-9678
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Authorized Official
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Title or Position | OWNER
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Name | MR. GUY A JONES
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Credential |
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Telephone | 406-361-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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