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General NPI Number Information
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NPI Number | 1255297438
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Entity Type | Organization
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Legal Business Name | UNION GOSPEL MISSION OF MISSOULA
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 2811 LATIMER ST STE 223
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City | MISSOULA
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State | MT
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Zip | 59808-1698
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Country | US
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Telephone | 406-542-5240
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 LATIMER ST STE 223
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City | MISSOULA
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State | MT
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Zip | 59808-1698
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Country | US
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Telephone | 406-542-5240
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OUTREACH
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Name | NATHAN DAGGETT
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Credential |
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Telephone | 406-552-7484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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