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General NPI Number Information
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NPI Number | 1730140690
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Entity Type | Individual
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Provider Name | DIANE M ADAMS LCSW MAC
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Gender | Female
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Dates
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Enumeration Date | 03/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1600 SOUTH AVE W SUITE A
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City | MISSOULA
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State | MT
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Zip | 59801
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Country | US
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Telephone | 406-728-8388
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Fax |
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Provider Business Mailing Address
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Address Line | 35510 EDS CREEK RD
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City | ALBERTON
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State | MT
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Zip | 59820
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Country | US
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Telephone | 406-728-8388
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 473
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License Number State | MT
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