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General NPI Number Information
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NPI Number | 1174689103
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Entity Type | Individual
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Provider Name | CHESTER MORRIS DEVER LCPC
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 24 E 16TH AVE CENTER FOR MENTAL HEALTH-PACT
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City | HELENA
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State | MT
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Zip | 59601-3445
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Country | US
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Telephone | 406-495-8545
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Fax | 406-443-3420
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Provider Business Mailing Address
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Address Line | 1419 HOLLINS AVE
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City | HELENA
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State | MT
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Zip | 59601-1706
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Country | US
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Telephone | 406-443-5330
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Fax |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC 1266
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License Number State | MT
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