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General NPI Number Information
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NPI Number | 1043049000
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Entity Type | Organization
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Legal Business Name | JENNIFER RICHARD PLLC
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 320 N 1ST ST STE D9
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City | HAMILTON
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State | MT
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Zip | 59840-3516
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Country | US
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Telephone | 406-961-7510
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Fax |
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Provider Business Mailing Address
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Address Line | 116 DALY AVE
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City | HAMILTON
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State | MT
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Zip | 59840-2826
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Country | US
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Telephone | 406-961-7510
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JENNIFER HALEY RICHARD
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Credential |
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Telephone | 406-961-7510
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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 |
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License Number State |
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