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General NPI Number Information
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NPI Number | 1295077311
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Entity Type | Organization
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Legal Business Name | YELLOWSTONE VALLEY BEHAVIORAL HEALTH, PC
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Dates
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Enumeration Date | 03/27/2013
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Last Update Date | 02/20/2015
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Provider Practice Location Address
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Address Line | 490 N 31ST ST STE 110
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City | BILLINGS
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State | MT
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Zip | 59101-1256
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Country | US
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Telephone | 406-969-2273
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Fax | 855-823-3242
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Provider Business Mailing Address
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Address Line | 490 N 31ST ST STE 110
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City | BILLINGS
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State | MT
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Zip | 59101-1256
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Country | US
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Telephone | 406-969-2273
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Fax | 855-823-3242
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Authorized Official
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Title or Position | PROVIDER
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Name | STEPHEN JAMES BURROWS
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Credential | LCSW
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Telephone | 406-969-2273
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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 | SWP-LCSW-LIC-2329
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License Number State | MT
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