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General NPI Number Information
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NPI Number | 1861773376
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Entity Type | Individual
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Provider Name | AMY C. TRAYNHAM FERAGEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 900 N MONTANA AVE STE B7
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City | HELENA
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State | MT
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Zip | 59601
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Country | US
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Telephone | 406-594-7109
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Fax | 406-494-1724
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Provider Business Mailing Address
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Address Line | PO BOX 9658
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City | HELENA
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State | MT
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Zip | 59604
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Country | US
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Telephone | 406-781-3342
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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 | 1023
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License Number State | MT
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