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General NPI Number Information
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NPI Number | 1437525136
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Entity Type | Individual
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Provider Name | TAMERA D KLAPWYK
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Gender | Female
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1020 MAIN STREET BOX #702
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City | CORVALLIS
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State | MT
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Zip | 59828
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Country | US
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Telephone | 406-361-0110
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Fax | 406-573-1080
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Provider Business Mailing Address
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Address Line | 1321 EASTSIDE HWY
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City | CORVALLIS
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State | MT
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Zip | 59828-9696
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Country | US
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Telephone | 406-366-0855
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Fax |
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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 | 12241
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12241
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License Number State | MT
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