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General NPI Number Information
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NPI Number | 1093503237
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Entity Type | Organization
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Legal Business Name | MONTANA INTEGRATIVE PSYCHIATRY PC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 2202 SOURDOUGH RD
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City | BOZEMAN
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State | MT
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Zip | 59715-5800
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Country | US
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Telephone | 406-600-8710
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Fax | 888-760-1434
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Provider Business Mailing Address
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Address Line | 2202 SOURDOUGH RD
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City | BOZEMAN
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State | MT
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Zip | 59715-5800
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Country | US
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Telephone | 406-600-8710
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Fax | 888-760-1434
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOY MELINDA BERGH
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Credential | PMHNP
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Telephone | 406-600-8710
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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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