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General NPI Number Information
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NPI Number | 1700160033
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Entity Type | Individual
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Provider Name | ROSEMARY EPPERSON LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 09/24/2018
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Provider Practice Location Address
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Address Line | 1313 US-93
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City | RONAN
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State | MT
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Zip | 59864
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Country | US
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Telephone | 406-850-7706
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Fax | 406-676-5582
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Provider Business Mailing Address
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Address Line | 34841 LEMERY RD
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City | ST IGNATIUS
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State | MT
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Zip | 59865-9399
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Country | US
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Telephone | 406-850-7706
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Fax | 406-676-5582
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | X-07451
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-LCSW-LIC-11383
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License Number State | MT
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