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General NPI Number Information
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NPI Number | 1790587822
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Entity Type | Individual
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Provider Name | PAULEE SMALL M.A.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 1700 S 72ND ST W
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City | BILLINGS
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State | MT
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Zip | 59106-3538
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Country | US
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Telephone | 406-655-2138
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 MAURICE AVE APT 113B
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City | MISSOULA
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State | MT
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Zip | 59801-6076
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Country | US
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Telephone | 406-740-1343
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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 | 75104
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License Number State | MT
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