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General NPI Number Information
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NPI Number | 1457556763
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Entity Type | Organization
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Legal Business Name | BUILDING NEW HORIZONS INC
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 715 KENSINGTON AVE STE 25A
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City | MISSOULA
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State | MT
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Zip | 59801-5700
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Country | US
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Telephone | 406-541-6966
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Fax | 406-541-6967
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Provider Business Mailing Address
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Address Line | PO BOX 272
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City | LOLO
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State | MT
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Zip | 59847-0272
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Country | US
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Telephone | 406-541-6966
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Fax | 406-541-6967
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE PICKELL
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Credential | CERTIFIED EMPLOYMENT
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Telephone | 406-541-6966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | MT
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