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General NPI Number Information
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NPI Number | 1952474413
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Entity Type | Organization
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Legal Business Name | COUNTY OF WIBAUX
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 212 1ST AVE. SW
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City | WIBAUX
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State | MT
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Zip | 59353-0096
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Country | US
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Telephone | 406-796-2841
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Fax | 406-796-2625
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Provider Business Mailing Address
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Address Line | PO BOX 199
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City | WIBAUX
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State | MT
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Zip | 59353-0199
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Country | US
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Telephone | 406-796-2481
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Fax | 406-796-2625
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Authorized Official
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Title or Position | COUNTY COMMISSIONER
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Name | DARIN MISKE
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Credential |
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Telephone | 406-796-2481
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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 | 498
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License Number State | MT
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