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General NPI Number Information
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NPI Number | 1710403530
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Entity Type | Individual
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Provider Name | DEANNA D GAMROTH LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 2004 HOSPITAL WAY
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City | WHITEFISH
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State | MT
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Zip | 59937-7858
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Country | US
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Telephone | 406-862-1030
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Fax | 406-862-1556
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Provider Business Mailing Address
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Address Line | PO BOX 3031
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City | KALISPELL
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State | MT
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Zip | 59903-3031
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Country | US
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Telephone | 406-752-3239
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Fax | 406-752-3252
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 40019
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License Number State | MT
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