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General NPI Number Information
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NPI Number | 1841853876
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Entity Type | Individual
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Provider Name | SARAH MONZELLA PACK MBA, MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1415 NORTHWEST BYP STE 2
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City | GREAT FALLS
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State | MT
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Zip | 59404-1710
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Country | US
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Telephone | 406-788-6300
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Fax | 888-458-1063
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Provider Business Mailing Address
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Address Line | 1415 NORTHWEST BYP STE 2
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City | GREAT FALLS
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State | MT
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Zip | 59404-1710
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Country | US
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Telephone | 406-788-6300
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Fax | 888-458-1063
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 178107
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License Number State | MT
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