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General NPI Number Information
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NPI Number | 1659873610
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Entity Type | Organization
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Legal Business Name | BILLINGS ADDICTION COUNSELING LLC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 208 N 29TH ST STE 236
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City | BILLINGS
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State | MT
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Zip | 59101-1926
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Country | US
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Telephone | 406-860-4499
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Fax | 406-206-4597
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Provider Business Mailing Address
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Address Line | 208 N 29TH ST STE 236
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City | BILLINGS
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State | MT
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Zip | 59101-1926
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Country | US
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Telephone | 406-860-4499
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Fax | 406-206-4597
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MS. TAMMY PERKINS
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Credential | LAC
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Telephone | 406-860-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1229
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 137
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License Number State | MT
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