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General NPI Number Information
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NPI Number | 1376722199
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Entity Type | Organization
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Legal Business Name | GREAT FALLS COUNSELING
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Dates
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Enumeration Date | 10/29/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 926 13TH AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59405-4406
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Country | US
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Telephone | 406-771-8713
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Fax | 406-771-4736
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Provider Business Mailing Address
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Address Line | PO BOX 6810
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City | GREAT FALLS
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State | MT
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Zip | 59406-6810
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Country | US
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Telephone | 406-771-8713
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Fax | 406-771-4736
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Authorized Official
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Title or Position | OWNER
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Name | MS. BARBARA ANN BOTTOMLY
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Credential | LCPCSOTS
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Telephone | 406-771-8713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 585LCPC
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License Number State | MT
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