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General NPI Number Information
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NPI Number | 1659141505
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Entity Type | Individual
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Provider Name | MR. MATTHEW JAMES ONSTAD
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Gender | Male
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Dates
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Enumeration Date | 01/02/2024
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 547 S 20TH ST W STE 5
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City | BILLINGS
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State | MT
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Zip | 59102-6445
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Country | US
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Telephone | 406-272-2611
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Fax |
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Provider Business Mailing Address
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Address Line | 2615 E BRIDGER DR
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City | BILLINGS
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State | MT
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Zip | 59102-1411
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Country | US
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Telephone | 406-696-8544
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 69820
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License Number State | MT
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