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General NPI Number Information
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NPI Number | 1588124952
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Entity Type | Individual
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Provider Name | WAYNE WILLIAM DAGEL MS, LCPC
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Gender | Male
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 1404 MAIN ST STE C&D
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City | BILLINGS
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State | MT
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Zip | 59105-1985
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Country | US
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Telephone | 406-697-2661
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50038
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City | BILLINGS
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State | MT
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Zip | 59105-0038
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Country | US
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Telephone | 406-697-2661
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LCPC-35071
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License Number State | MT
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