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NPI 1851016778

NPI 1851016778 : ROBERT REED : HALL, MT

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General NPI Number Information
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    NPI Number           |    1851016778
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    Entity Type          |    Individual 
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    Provider Name        |    ROBERT REED
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/04/2022
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    Last Update Date     |    10/04/2022
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Provider Practice Location Address
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    Address Line         |    5498 MT HIGHWAY 1 
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    City                 |    HALL
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    State                |    MT
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    Zip                  |    59837-9707
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    Country              |    US
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    Telephone            |    406-544-7203
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 262 
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    City                 |    HALL
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    State                |    MT
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    Zip                  |    59837-0262
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    Country              |    US
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    Telephone            |    406-544-7302
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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        |    3416L0300X
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    Taxonomy Name        |    Land Ambulance
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    License Number       |    
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    License Number State |    
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