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General NPI Number Information
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NPI Number | 1962122010
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Entity Type | Organization
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Legal Business Name | BLACKFEET TRIBE
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 728 S GOVERNMENT SQ
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City | BROWNING
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State | MT
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Zip | 59417-5272
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Country | US
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Telephone | 406-338-2686
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 728
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City | BROWNING
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State | MT
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Zip | 59417-0728
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Country | US
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Telephone | 406-338-2686
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Fax | 406-338-7779
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARIE WEASEL
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Credential | RN BSN
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Telephone | 406-338-2686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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