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General NPI Number Information
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NPI Number | 1841347101
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Entity Type | Organization
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Legal Business Name | COUNTY OF LINCOLN
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 418 MINERAL AVE
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City | LIBBY
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State | MT
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Zip | 59923-1956
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Country | US
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Telephone | 406-283-2442
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Fax | 406-283-2466
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Provider Business Mailing Address
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Address Line | 418 MINERAL AVE
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City | LIBBY
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State | MT
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Zip | 59923-1956
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Country | US
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Telephone | 406-283-2442
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Fax | 406-283-2466
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Authorized Official
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Title or Position | PUBLIC HEALTH MANAGER
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Name | JENNIFER MCCULLY
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Credential |
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Telephone | 406-283-2465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | RN12411
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License Number State | MT
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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