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General NPI Number Information
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NPI Number | 1609473974
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Entity Type | Organization
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Legal Business Name | CARLY HATFIELD APRN, PLLC
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Dates
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Enumeration Date | 10/08/2020
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 210 N HIGGINS AVE STE 314
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City | MISSOULA
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State | MT
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Zip | 59802-4443
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Country | US
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Telephone | 406-851-9244
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8744
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City | MISSOULA
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State | MT
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Zip | 59807-8744
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Country | US
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Telephone | 406-851-9244
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Fax | 406-303-4022
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Authorized Official
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Title or Position | OWNER
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Name | CARLY HATFIELD
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Credential | DNP, PMHNP
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Telephone | 406-851-9244
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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 |
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License Number State |
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