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General NPI Number Information
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NPI Number | 1740022888
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Entity Type | Individual
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Provider Name | LILY HIER
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Gender | Female
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Dates
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Enumeration Date | 06/10/2024
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 2683 PALMER ST STE B
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City | MISSOULA
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State | MT
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Zip | 59808-1757
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Country | US
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Telephone | 406-214-3131
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Fax |
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Provider Business Mailing Address
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Address Line | 621 S 3RD ST W
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City | MISSOULA
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State | MT
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Zip | 59801-2515
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Country | US
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Telephone | 603-306-1979
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLP-SPA-LIC-12647
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License Number State | MT
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