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General NPI Number Information
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NPI Number | 1083361943
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Entity Type | Organization
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Legal Business Name | LANA DICKEN LCSW & ASSOCIATES LLC
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Dates
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Enumeration Date | 03/09/2022
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 105 W STANTON ST
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City | PLAINS
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State | MT
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Zip | 59859-7721
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Country | US
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Telephone | 406-529-4179
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Fax |
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Provider Business Mailing Address
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Address Line | 105 W STANTON ST
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City | PLAINS
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State | MT
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Zip | 59859-7721
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Country | US
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Telephone | 406-529-4179
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LANA DICKEN
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Credential |
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Telephone | 406-529-4179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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