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General NPI Number Information
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NPI Number | 1871718155
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Entity Type | Individual
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Provider Name | HOLLY ELIZABETH SCHLEICHER PHD
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 2835 FORT MISSOULA RD STE 102
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City | MISSOULA
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State | MT
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Zip | 59804-7424
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Country | US
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Telephone | 406-541-7246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18102
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City | MISSOULA
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State | MT
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Zip | 59808-8102
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Country | US
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Telephone | 406-544-8865
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY-PSY-LIC-947
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License Number State | MT
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