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General NPI Number Information
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NPI Number | 1730998287
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Entity Type | Individual
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Provider Name | JEREMIAH MARK ZILKOSKI I
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Gender | Male
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 1732 S 72ND ST W
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City | BILLINGS
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State | MT
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Zip | 59106-3538
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Country | US
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Telephone | 406-655-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1995 OUTLOOK DR
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City | BILLINGS
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State | MT
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Zip | 59105-4302
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Country | US
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Telephone | 406-208-3402
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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