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General NPI Number Information
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NPI Number | 1548934359
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Entity Type | Individual
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Provider Name | CARLY R SELL PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | 1111 N RODNEY ST STE 4E
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City | HELENA
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State | MT
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Zip | 59601-3514
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Country | US
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Telephone | 406-459-9227
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Fax | 406-634-3302
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Provider Business Mailing Address
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Address Line | 5 BUGLE CT
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City | WINSTON
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State | MT
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Zip | 59647-8512
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Country | US
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Telephone | 406-459-9227
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 196374
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License Number State | MT
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