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General NPI Number Information
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NPI Number | 1003086950
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Entity Type | Organization
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Legal Business Name | BLUE DIAMOND PSYCHIATRIC SERVICES, PC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 432 N LAST CHANCE GULCH SUITE G
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City | HELENA
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State | MT
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Zip | 59601-5014
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Country | US
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Telephone | 406-438-6958
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Fax | 406-422-5624
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Provider Business Mailing Address
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Address Line | PO BOX 1685
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City | HELENA
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State | MT
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Zip | 59624-1685
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Country | US
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Telephone | 406-438-6958
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Fax | 406-422-5624
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MONICA GRABRIAN
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Credential | MS, APRN, PMHCNS-BC
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Telephone | 406-438-6958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 47511
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | APN39336
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License Number State | MT
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