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General NPI Number Information
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NPI Number | 1841487824
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Entity Type | Individual
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Provider Name | STEPHANIE M. WELCH LRD
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Gender | Female
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Dates
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Enumeration Date | 10/03/2007
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Last Update Date | 07/07/2015
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Provider Practice Location Address
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Address Line | 1045 N 30TH ST
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City | BILLINGS
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State | MT
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Zip | 59101-0733
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Country | US
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Telephone | 406-238-5522
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 37000
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City | BILLINGS
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State | MT
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Zip | 59107-7000
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Country | US
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Telephone | 406-238-2500
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 724
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 541
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License Number State | MT
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