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General NPI Number Information
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NPI Number | 1740644418
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Entity Type | Organization
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Legal Business Name | ADDICTIONS CONSULTING GROUP
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 2227 7TH ST W
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City | BILLINGS
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State | MT
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Zip | 59102-2539
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Country | US
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Telephone | 406-252-8147
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Fax |
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Provider Business Mailing Address
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Address Line | 2227 7TH ST W
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City | BILLINGS
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State | MT
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Zip | 59102-2539
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Country | US
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Telephone | 406-252-8147
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | MR. DAVID W CUNNINGHAM
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Credential |
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Telephone | 406-252-8147
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 47
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License Number State | MT
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