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General NPI Number Information
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NPI Number | 1013718006
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Entity Type | Individual
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Provider Name | ERICA HOUSE
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Gender | Female
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 11/16/2025
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Provider Practice Location Address
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Address Line | 900 N ORANGE ST STE 202
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City | MISSOULA
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State | MT
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Zip | 59802-2951
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Country | US
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Telephone | 406-327-3362
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Fax | 406-327-3349
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Provider Business Mailing Address
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Address Line | PO BOX 739
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City | MILLTOWN
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State | MT
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Zip | 59851-0739
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Country | US
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Telephone | 406-370-8337
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 64778
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License Number State | MT
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