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General NPI Number Information
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NPI Number | 1639768872
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Entity Type | Organization
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Legal Business Name | REFUGE THERAPEUTIC SERVICES PLLC
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 944 AVENUE B
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City | BILLINGS
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State | MT
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Zip | 59102-3346
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Country | US
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Telephone | 406-530-5227
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Fax |
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Provider Business Mailing Address
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Address Line | 905 ARONSON AVE
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City | BILLINGS
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State | MT
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Zip | 59105-2315
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Country | US
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Telephone | 406-694-2409
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. JANET KATHRYN ROSS
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Credential | LCSW
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Telephone | 406-694-2409
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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 |
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License Number State |
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