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General NPI Number Information
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NPI Number | 1356980262
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Entity Type | Organization
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Legal Business Name | MOMENTUM PSYCHOLOGICAL HEALTH LLC
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Dates
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Enumeration Date | 12/26/2019
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 5 W MENDENHALL ST STE 202
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City | BOZEMAN
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State | MT
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Zip | 59715-3566
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Country | US
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Telephone | 406-813-0961
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Fax |
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Provider Business Mailing Address
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Address Line | 977 N RIVER ROCK DR
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City | BELGRADE
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State | MT
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Zip | 59714-9275
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | MEGAN HUNSAKER
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Credential | PH.D.
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Telephone | 406-813-0961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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