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General NPI Number Information
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NPI Number | 1821161845
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Entity Type | Individual
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Provider Name | SHARMAINE J BENALLY MSW
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 425 SMELTER AVE NE
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City | GREAT FALLS
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State | MT
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Zip | 59404-1927
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Country | US
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Telephone | 406-247-7130
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3629
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City | WINDOW ROCK
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State | AZ
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Zip | 86515
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Country | US
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Telephone | 505-464-1608
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | BBH-LCSW-LIC57015
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | C-07501
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License Number State | NM
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