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General NPI Number Information
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NPI Number | 1902282239
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Entity Type | Organization
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Legal Business Name | BRIDGER EMERGENCY TRAINING CENTER LLC
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 2110 HARNISH BLVD STE 1
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-579-7248
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Fax | 406-656-2132
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Provider Business Mailing Address
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Address Line | 2110 HARNISH BLVD STE 1
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City | BILLINGS
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State | MT
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Zip | 59101-6263
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Country | US
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Telephone | 406-579-7248
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Fax | 406-656-2132
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Authorized Official
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Title or Position | OWNER
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Name | JOEL JASON KELM
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Credential | AEMT
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Telephone | 406-813-8231
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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 | 330
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License Number State | MT
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