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General NPI Number Information
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NPI Number | 1285022905
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Entity Type | Individual
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Provider Name | HANNAH EILEEN KIRBY-ZIMMERMAN LCPC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2015
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Last Update Date | 08/25/2020
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Provider Practice Location Address
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Address Line | 1119 W KENT AVE
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City | MISSOULA
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State | MT
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Zip | 59801-6636
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Country | US
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Telephone | 406-214-2459
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 755
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City | MISSOULA
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State | MT
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Zip | 59806-0755
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Country | US
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Telephone | 406-214-2459
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 441-228
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-42636
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License Number State | MT
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