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NPI 1841465267

NPI 1841465267 : ARI D GREENBERG PAC : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1841465267
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    Entity Type          |    Individual 
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    Provider Name        |    ARI D GREENBERG PAC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/26/2008
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    Last Update Date     |    04/26/2008
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Provider Practice Location Address
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    Address Line         |    2900 12TH AVE N SUITE 2E
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59101-7506
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    Country              |    US
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    Telephone            |    406-237-5862
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1196 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59103-1196
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    Country              |    US
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    Telephone            |    406-237-5862
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    313
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    License Number State |    MT
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