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NPI 1679911168

NPI 1679911168 : PAMELA GALE BING PERRY MBA, MS, DMFT, LMFT : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1679911168
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA GALE BING PERRY MBA, MS, DMFT, LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2013
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    Last Update Date     |    06/06/2013
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Provider Practice Location Address
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    Address Line         |    902 WYOMING AVE 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59101-1637
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    Country              |    US
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    Telephone            |    406-850-9219
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 30053 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59107-0053
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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    |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    SWP-LMFT-LIC 58
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    License Number State |    MT
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