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General NPI Number Information
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NPI Number | 1174041206
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Entity Type | Organization
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Legal Business Name | THRIVOLOGY, INC.
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 723 5TH AVE E # B18
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City | KALISPELL
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State | MT
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Zip | 59901-5321
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Country | US
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Telephone | 406-291-3835
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Fax |
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Provider Business Mailing Address
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Address Line | 723 5TH AVE E # B-18
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City | KALISPELL
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State | MT
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Zip | 59901-5321
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Country | US
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Telephone | 406-249-5506
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Fax | 406-890-6842
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | LANA GARDNER
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Credential |
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Telephone | 406-249-5506
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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