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General NPI Number Information
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NPI Number | 1871722645
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Entity Type | Individual
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Provider Name | GINA ELIZABETH AASHEIM LCPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 110 GRANT ST STE B
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City | PLENTYWOOD
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State | MT
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Zip | 59254
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Country | US
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Telephone | 406-765-1277
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Fax | 406-765-1278
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Provider Business Mailing Address
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Address Line | 110 GRANT ST STE B P.O. BOX 412
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City | PLENTYWOOD
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State | MT
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Zip | 59254-1810
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Country | US
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Telephone | 406-765-1277
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Fax | 406-765-1278
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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 | 1429
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License Number State | MT
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