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General NPI Number Information
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NPI Number | 1700282571
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Entity Type | Individual
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Provider Name | DEREK HOOK MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 915 1ST AVE S
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City | GREAT FALLS
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State | MT
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Zip | 59401-3705
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Country | US
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Telephone | 406-791-9613
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Fax | 406-761-5440
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Provider Business Mailing Address
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Address Line | PO BOX 3089
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City | GREAT FALLS
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State | MT
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Zip | 59403-3089
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Country | US
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Telephone | 406-791-9507
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Fax | 406-761-0554
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | SD3348
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License Number State | SD
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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 | 38241
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License Number State | MT
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