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General NPI Number Information
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NPI Number | 1366254104
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Entity Type | Individual
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Provider Name | ADRIENNE C BOMBELLES SWLC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 21 N LAST CHANCE GULCH STE 201
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City | HELENA
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State | MT
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Zip | 59601-4108
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Country | US
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Telephone | 406-272-2511
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Fax | 406-204-0474
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Provider Business Mailing Address
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Address Line | 1645 AVENUE D STE C
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City | BILLINGS
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State | MT
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Zip | 59102-3043
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Country | US
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Telephone | 406-272-2511
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Fax | 406-204-0474
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-SWLC-LIC-64934
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License Number State | MT
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