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General NPI Number Information
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NPI Number | 1679769301
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Entity Type | Individual
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Provider Name | SHELLEY WINDSOR M.A. LPC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 810 W 5TH ST
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City | ANACONDA
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State | MT
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Zip | 59711-2026
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Country | US
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Telephone | 406-490-8300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 566
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City | ANACONDA
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State | MT
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Zip | 59711-0566
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Country | US
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Telephone | 406-490-8300
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 1035
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 44032
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License Number State | MT
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