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General NPI Number Information
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NPI Number | 1487331617
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Entity Type | Individual
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Provider Name | NOAH WARD LCSWA, LCASA
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Gender | Male
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 233 E MAIN ST STE 401
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City | BOZEMAN
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State | MT
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Zip | 59715-5045
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Country | US
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Telephone | 406-219-7835
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Fax |
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Provider Business Mailing Address
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Address Line | 2086 RION RD
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City | WINNSBORO
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State | SC
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Zip | 29180-7333
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Country | US
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Telephone | 803-429-9212
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P019177
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License Number State | NC
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