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General NPI Number Information
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NPI Number | 1417011578
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Entity Type | Individual
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Provider Name | PAMELA J. COLOMBIK LCPC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 07/18/2014
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Provider Practice Location Address
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Address Line | 2000 CLARKE ST, SUITE # 6
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City | MILES CITY
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State | MT
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Zip | 59301
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Country | US
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Telephone | 406-234-7890
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Fax | 406-234-7890
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Provider Business Mailing Address
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Address Line | 2000 CLARKE STREET SUITE 6
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City | MILES CITY
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State | MT
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Zip | 59301
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Country | US
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Telephone | 406-234-7890
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Fax | 406-234-7898
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 750
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC-750
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License Number State | MT
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