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General NPI Number Information
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NPI Number | 1831845585
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Entity Type | Organization
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Legal Business Name | BIGHORN VALLEY HEALTH CENTER INCORPORATED
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 112 W LEWIS ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-3066
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Country | US
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Telephone | 406-823-6360
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Fax | 406-222-3346
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Provider Business Mailing Address
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Address Line | 112 W LEWIS ST
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City | LIVINGSTON
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State | MT
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Zip | 59047-3066
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Country | US
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Telephone | 406-823-6360
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Fax | 406-222-3346
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Authorized Official
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Title or Position | PHARMACY DIRECTOR
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Name | SHAWN GLENN PATRICK
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Credential |
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Telephone | 406-922-0843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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