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General NPI Number Information
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NPI Number | 1689091365
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Entity Type | Individual
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Provider Name | AMY DANDLIKER LCPC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 1721 HUMBLE RD
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City | MISSOULA
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State | MT
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Zip | 59804-5089
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Country | US
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Telephone | 406-698-1954
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Fax |
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Provider Business Mailing Address
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Address Line | 2814 BROOKS ST # 153
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City | MISSOULA
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State | MT
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Zip | 59801-7718
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Country | US
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Telephone | 406-698-1954
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7778
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License Number State | MT
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