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General NPI Number Information
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NPI Number | 1164467833
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Entity Type | Individual
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Provider Name | SHERI LYNN HILYARD LISW, LADAC
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Gender | Female
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 100 W LAUREL AVE
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City | PLENTYWOOD
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State | MT
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Zip | 59254-1647
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Country | US
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Telephone | 406-765-2550
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Fax | 406-765-3488
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Provider Business Mailing Address
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Address Line | 213 N JEFFERSON ST
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City | PLENTYWOOD
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State | MT
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Zip | 59254-1814
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Country | US
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Telephone | 575-520-3625
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Fax | 575-524-4266
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0078241
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 29342
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I-05966
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 23622
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License Number State | MT
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