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General NPI Number Information
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NPI Number | 1659107274
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Entity Type | Individual
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Provider Name | CHRISTINA FARQUHAR MSW
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Gender | Female
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Dates
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Enumeration Date | 09/10/2024
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 2023 STADIUM DR STE 2B
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City | BOZEMAN
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State | MT
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Zip | 59715-0613
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Country | US
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Telephone | 406-591-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 139 HUGHES LN # 434
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City | MC ALLISTER
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State | MT
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Zip | 59740-9730
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Country | US
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Telephone | 714-612-7079
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | BBH-SWLC-LIC-70975
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License Number State | MT
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