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General NPI Number Information
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NPI Number | 1245775691
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY SPECIAL EDUCATION COOPERATIVE
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Dates
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Enumeration Date | 12/21/2016
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 119 N PARK AVE.
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City | BROADUS
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State | MT
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Zip | 59317-0718
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Country | US
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Telephone | 406-436-2488
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Fax | 406-436-2151
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Provider Business Mailing Address
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Address Line | PO BOX 718
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City | BROADUS
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State | MT
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Zip | 59317-0718
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Country | US
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Telephone | 406-436-2488
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Fax | 406-436-2151
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Authorized Official
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Title or Position | TRICOUNTY COOP DIRECTOR
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Name | MRS. MOLLY ANNA LLOYD
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Credential |
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Telephone | 406-436-2488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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