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General NPI Number Information
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NPI Number | 1003683202
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Entity Type | Individual
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Provider Name | RAYMOND ROBERT ANTONSEN MS, LAC
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Gender | Male
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 20 OTHALA LN
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City | CHOTEAU
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State | MT
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Zip | 59422-9031
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Country | US
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Telephone | 406-466-2591
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 477
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City | CHOTEAU
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State | MT
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Zip | 59422-0477
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Country | US
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Telephone | 406-466-2591
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Fax |
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-LAC-LIC-5017
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License Number State | MT
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