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General NPI Number Information
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NPI Number | 1811717648
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Entity Type | Individual
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Provider Name | JAKE ROWE FREEMAN LMFT-CA
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Gender | Male
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1140 1ST AVENUE NORTH SUITE 214
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-940-5230
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Fax |
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Provider Business Mailing Address
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Address Line | 1140 1ST AVENUE NORTH SUITE 214
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City | BILLINGS
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State | MT
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Zip | 59101
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Country | US
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Telephone | 406-940-5230
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | BBH-MFLC-LIC-72600
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License Number State | MT
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