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General NPI Number Information
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NPI Number | 1073485181
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Entity Type | Organization
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Legal Business Name | RAURIE BIRCH PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 125 BANK ST STE 310
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City | MISSOULA
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State | MT
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Zip | 59802-4413
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Country | US
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Telephone | 773-398-9962
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Fax |
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Provider Business Mailing Address
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Address Line | 125 BANK ST STE 310
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City | MISSOULA
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State | MT
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Zip | 59802-4413
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Country | US
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Telephone | 773-398-9962
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAURIE BIRCH
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Credential | PSY.D.
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Telephone | 773-398-9962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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