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General NPI Number Information
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NPI Number | 1093174500
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Entity Type | Organization
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Legal Business Name | B W CARING CORPORATION
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1209 MOSSMAN DR
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City | BILLINGS
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State | MT
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Zip | 59105-6001
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Country | US
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Telephone | 406-839-4326
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Fax |
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Provider Business Mailing Address
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Address Line | 821 N 27TH STREET PMB 314
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City | BILLINGS
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State | MT
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Zip | 59101-1121
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Country | US
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Telephone | 406-696-6595
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DARON BROOKER
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Credential | EXECUTIVE DIRECTOR
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Telephone | 406-696-6595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State | MT
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