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General NPI Number Information
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NPI Number | 1972831220
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Entity Type | Organization
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Legal Business Name | ST PATRICK HOSPITAL AND HEALTH SCIENCES CENTER
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 500 W BROADWAY ST SUITE 320
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City | MISSOULA
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State | MT
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Zip | 59802-4008
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Country | US
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Telephone | 406-329-5615
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Fax | 406-329-5606
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Provider Business Mailing Address
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Address Line | 435 S CRYSTAL ST SUITE 300
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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 | 406-329-5615
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Fax | 406-329-5606
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Authorized Official
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Title or Position | ADMINISTRAOR
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Name | THOMAS MCGUIRE
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Credential |
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Telephone | 406-329-5615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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