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General NPI Number Information
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NPI Number | 1972215747
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Entity Type | Organization
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Legal Business Name | THE OFFICE OF KRISTIN MCCOLLY NP PLLC
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 724 4TH AVE NORTH
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City | HINSDALE
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State | MT
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Zip | 59241-0002
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Country | US
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Telephone | 406-648-5432
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Fax | 406-648-5430
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Provider Business Mailing Address
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Address Line | PO BOX 2
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City | HINSDALE
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State | MT
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Zip | 59241-0002
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Country | US
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Telephone | 406-648-5432
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Fax | 406-648-5430
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | GRETCHEN FIRE
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Credential | RN
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Telephone | 406-648-5432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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