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General NPI Number Information
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NPI Number | 1831853985
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Entity Type | Organization
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Legal Business Name | BIG SKY OSTEOPATHY, PC
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Dates
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Enumeration Date | 10/25/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 2135 CHARLOTTE ST STE 1A
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City | BOZEMAN
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State | MT
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Zip | 59718-2741
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Country | US
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Telephone | 406-625-3058
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Fax | 406-578-3602
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Provider Business Mailing Address
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Address Line | 2135 CHARLOTTE ST STE 1A
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City | BOZEMAN
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State | MT
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Zip | 59718-2741
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Country | US
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Telephone | 406-625-3058
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Fax | 406-578-3602
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUNIL BHAT
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Credential | DO
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Telephone | 406-625-3058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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