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General NPI Number Information
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NPI Number | 1972980050
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Entity Type | Individual
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Provider Name | JOAN ABI NUTT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 107 6TH AVE. SW
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City | RONAN
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State | MT
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Zip | 59864
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Country | US
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Telephone | 406-676-4441
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Fax | 406-676-0835
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Provider Business Mailing Address
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Address Line | 107 6TH AVE. SW
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City | RONAN
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State | MT
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Zip | 59864
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Country | US
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Telephone | 608-324-2000
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Fax | 406-247-3389
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 70359
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License Number State | MT
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