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General NPI Number Information
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NPI Number | 1760966485
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Entity Type | Individual
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Provider Name | DAWN MARIE HANDA LCPC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2018
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 321 1ST AVE N
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City | GREAT FALLS
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State | MT
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Zip | 59401-2505
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Country | US
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Telephone | 406-478-6776
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Fax | 406-250-2396
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Provider Business Mailing Address
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Address Line | 3905 4TH ST NE
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City | GREAT FALLS
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State | MT
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Zip | 59404-4244
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Country | US
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Telephone | 406-788-6077
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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 | BBH-LCPC-LIC-38449
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License Number State | MT
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