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General NPI Number Information
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NPI Number | 1669296422
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Entity Type | Organization
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Legal Business Name | ONE LOVE FOUNDATION
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Dates
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Enumeration Date | 11/08/2024
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 126 E BROADWAY ST STE 23
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City | MISSOULA
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State | MT
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Zip | 59802-4567
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Country | US
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Telephone | 406-823-0176
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Fax |
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Provider Business Mailing Address
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Address Line | 9 SEPTEMBER DR
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City | MISSOULA
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State | MT
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Zip | 59802-3321
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Country | US
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Telephone | 406-549-6808
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMBERLY A APRYLE
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Credential |
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Telephone | 406-549-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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