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General NPI Number Information
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NPI Number | 1497273452
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Entity Type | Organization
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Legal Business Name | HEALING RAIN COUNSELING, LLC
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Dates
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Enumeration Date | 08/30/2017
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 2520 5TH AVE S
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City | BILLINGS
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State | MT
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Zip | 59101-4304
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Country | US
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Telephone | 406-860-5215
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22504
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City | BILLINGS
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State | MT
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Zip | 59104-2504
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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 | BILLER/CREDENTIALIN
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Name | KAYDI MUUS
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Credential |
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Telephone | 406-672-7802
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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 | 4466
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License Number State | MT
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