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General NPI Number Information
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NPI Number | 1992134308
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Entity Type | Organization
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Legal Business Name | MONTANA HEALTH CENTER
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 405 SADDLE DR
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City | HELENA
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State | MT
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Zip | 59601-5632
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Country | US
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Telephone | 406-444-9930
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Fax | 406-206-0304
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Provider Business Mailing Address
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Address Line | 405 SADDLE DR
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City | HELENA
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State | MT
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Zip | 59601-5632
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Country | US
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Telephone | 406-444-9930
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Fax | 406-206-0304
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Authorized Official
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Title or Position | DCO
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Name | JIMMIE BARNWELL
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Credential | PA, JD
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Telephone | 406-444-9930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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