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General NPI Number Information
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NPI Number | 1649165143
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Entity Type | Individual
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Provider Name | MICHELE M DENNIS CBHPPS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 27 WEST PARK STREET #2 (PARK STREET MINI MALL)
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City | BUTTE
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State | MT
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Zip | 59701-3120
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Country | US
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Telephone | 406-564-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 S MONTANA ST
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City | BUTTE
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State | MT
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Zip | 59701-3120
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Country | US
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Telephone | 406-564-2364
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | BBH-BHPS-CRT-76202
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License Number State | MT
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