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General NPI Number Information
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NPI Number | 1184448615
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Entity Type | Individual
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Provider Name | KASSIE ANN FJARE SWLC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 100 N 27TH ST STE 510
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City | BILLINGS
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State | MT
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Zip | 59101-2054
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Country | US
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Telephone | 406-223-6827
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Fax | 406-919-4044
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Provider Business Mailing Address
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Address Line | 120 SILVER FOX LN
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City | BELGRADE
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State | MT
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Zip | 59714-2301
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Country | US
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Telephone | 702-467-4048
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-SWLC-LIC-72919
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License Number State | MT
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