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General NPI Number Information
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NPI Number | 1639373939
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Entity Type | Organization
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Legal Business Name | M.J.H.H., INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 445 S 5TH ST W
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City | MISSOULA
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State | MT
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Zip | 59801-2619
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Country | US
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Telephone | 406-543-6736
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Fax | 406-728-7390
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Provider Business Mailing Address
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Address Line | 445 S 5TH ST W
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City | MISSOULA
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State | MT
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Zip | 59801-2619
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Country | US
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Telephone | 406-543-6736
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Fax | 406-728-7390
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Authorized Official
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Title or Position | PSYCHOLOGIST, BOARD CHAIR
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Name | DR. M JOAN HESS-HOMEIER
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Credential | PH.D.
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Telephone | 406-543-6736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 131
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License Number State | MT
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