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General NPI Number Information
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NPI Number | 1841263563
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Entity Type | Individual
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Provider Name | CHERYL LYNN MONTALBANO-RAHMANY MA
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Gender | Female
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 253 INDIANA AVE
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City | VALPARAISO
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State | IN
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Zip | 46383-5542
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Country | US
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Telephone | 219-386-1092
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Fax | 219-476-7558
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Provider Business Mailing Address
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Address Line | 2158 45TH ST # 202
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City | HIGHLAND
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State | IN
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Zip | 46322-3742
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Country | US
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Telephone | 219-386-1092
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Fax | 219-476-7558
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 87000794A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 39001744A
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License Number State | IN
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