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NPI 1861665937

NPI 1861665937 : UNA MARIE FORD R.N. : BOX ELDER, MT

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General NPI Number Information
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    NPI Number           |    1861665937
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    Entity Type          |    Individual 
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    Provider Name        |    UNA MARIE FORD R.N.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/09/2008
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    Last Update Date     |    04/09/2008
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Provider Practice Location Address
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    Address Line         |    RR 1 BOX 664 
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    City                 |    BOX ELDER
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    State                |    MT
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    Zip                  |    59521-9797
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    Country              |    US
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    Telephone            |    406-395-4486
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    Fax                  |    406-395-5850
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Provider Business Mailing Address
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    Address Line         |    RR 1 BOX 664 
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    City                 |    BOX ELDER
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    State                |    MT
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    Zip                  |    59521-9797
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    Country              |    US
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    Telephone            |    406-395-4486
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    Fax                  |    406-395-5850
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    27291
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    License Number State |    MT
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