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General NPI Number Information
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NPI Number | 1841776044
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Entity Type | Individual
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Provider Name | HEATH L SHOMATE PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 03/18/2021
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Provider Practice Location Address
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Address Line | 2950 10TH AVE N
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City | BILLINGS
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State | MT
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Zip | 59101-0720
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Country | US
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Telephone | 406-671-8906
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35100
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City | BILLINGS
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State | MT
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Zip | 59107-5100
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 131347
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-APRN-LIC-131347
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License Number State | MT
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