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General NPI Number Information
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NPI Number | 1740621622
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Entity Type | Individual
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Provider Name | JULIE GUTHRIE LARKIN FPMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2013
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 700 SW HIGGINS AVE STE 104
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City | MISSOULA
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State | MT
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Zip | 59803-1489
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Country | US
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Telephone | 406-396-3604
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Fax |
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Provider Business Mailing Address
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Address Line | 115 TAKIMA DR
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City | MISSOULA
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State | MT
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Zip | 59803-1605
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Country | US
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Telephone | 406-396-3604
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NUR-RN-LIC-35559
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 100758
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License Number State | MT
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