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General NPI Number Information
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NPI Number | 1144367608
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Entity Type | Individual
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Provider Name | DUSTI BREE ZIMMER LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 12/26/2023
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Provider Practice Location Address
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Address Line | 410 CENTRAL AVE STE 319
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City | GREAT FALLS
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State | MT
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Zip | 59401-3128
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Country | US
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Telephone | 406-868-9533
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Fax | 406-403-0381
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Provider Business Mailing Address
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Address Line | PO BOX 522
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City | GREAT FALLS
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State | MT
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Zip | 59403-0522
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Country | US
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Telephone | 406-868-9533
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Fax | 406-403-0381
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-LCSW-LIC-779
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License Number State | MT
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