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General NPI Number Information
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NPI Number | 1679071781
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Entity Type | Organization
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Legal Business Name | STARS IN THE SKY, LLC
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 01/24/2018
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Provider Practice Location Address
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Address Line | 9 3RD ST N STE 300
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City | GREAT FALLS
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State | MT
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Zip | 59401-3145
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Country | US
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Telephone | 406-836-7494
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1432
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City | GREAT FALLS
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State | MT
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Zip | 59403-1432
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDSAY COOPER
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Credential | LCPC, LAC
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Telephone | 406-836-7494
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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 |
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License Number State |
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