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General NPI Number Information
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NPI Number | 1689584690
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Entity Type | Individual
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Provider Name | RACHEL DIANE PERRIGO PCLC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 33 VILLAGE LOOP RD
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City | KALISPELL
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State | MT
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Zip | 59901-2948
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Country | US
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Telephone | 406-249-5506
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Fax | 406-890-6842
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Provider Business Mailing Address
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Address Line | 723 5TH AVE E STE B-18
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City | KALISPELL
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State | MT
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Zip | 59901-5321
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Country | US
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Telephone | 406-249-5506
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Fax | 406-890-6842
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | BBH-PCLC-LIC-90598
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License Number State | MT
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