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General NPI Number Information
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NPI Number | 1649486358
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Entity Type | Individual
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Provider Name | KIMBERLEY IRENE WELDON L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 900 JACKSON ST CENTER FOR MENTAL HEALTH
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City | HELENA
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State | MT
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Zip | 59601-3428
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Country | US
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Telephone | 406-443-7151
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Fax | 406-443-3420
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Provider Business Mailing Address
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Address Line | PO BOX 3089 CENTER FOR MENTAL HEALTH
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City | GREAT FALLS
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State | MT
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Zip | 59403-3089
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Country | US
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Telephone | 406-443-7151
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Fax | 406-443-3420
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002790A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5850
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License Number State | MT
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