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General NPI Number Information
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NPI Number | 1750751798
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Entity Type | Organization
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Legal Business Name | THISTLE & BURR, PLLC
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 126 E BROADWAY ST SUITE 1
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City | MISSOULA
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State | MT
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Zip | 59802-4564
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Country | US
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Telephone | 406-871-6323
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9456
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City | MISSOULA
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State | MT
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Zip | 59807-9456
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | SARAH ARONSON
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Credential | LCSW
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Telephone | 406-871-6323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 927
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License Number State | MT
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