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General NPI Number Information
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NPI Number | 1386226132
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Entity Type | Organization
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Legal Business Name | ZENITH TRAILS LLC
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Dates
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Enumeration Date | 04/22/2021
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 22 W PARK ST STE 211
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City | BUTTE
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State | MT
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Zip | 59701-1714
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Country | US
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Telephone | 406-310-6539
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 654
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City | PHILIPSBURG
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State | MT
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Zip | 59858-0654
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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 | PRESIDENT
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Name | ROMNEE VUSHON
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Credential |
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Telephone | 406-310-6539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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