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General NPI Number Information
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NPI Number | 1881037265
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Entity Type | Individual
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Provider Name | JESSICA REISSIG D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2013
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 435 S CRYSTAL ST STE 400
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-496-3400
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Fax | 406-496-3401
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Provider Business Mailing Address
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Address Line | 435 S CRYSTAL ST STE 400
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City | BUTTE
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State | MT
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Zip | 59701-1506
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Country | US
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Telephone | 406-496-3400
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Fax | 406-496-3401
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 11424
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 99489
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License Number State | MT
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