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General NPI Number Information
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NPI Number | 1831802289
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Entity Type | Organization
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Legal Business Name | BIG SKY FAMILY HEALTH CLINIC
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Dates
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Enumeration Date | 12/30/2022
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Last Update Date | 12/30/2022
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Provider Practice Location Address
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Address Line | 2210 HARRISON AVE
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City | BUTTE
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State | MT
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Zip | 59701-6068
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Country | US
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Telephone | 406-792-6239
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Fax | 406-299-2448
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Provider Business Mailing Address
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Address Line | 2210 HARRISON AVE
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City | BUTTE
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State | MT
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Zip | 59701-6068
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Country | US
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Telephone | 406-792-6239
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Fax | 406-299-2448
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANDREA RAPP
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Credential |
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Telephone | 406-792-6239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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