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NPI 1871831164

NPI 1871831164 : CHRISTINE KAY DUDA BBH-PCLC-LIC : BILLINGS, MT

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General NPI Number Information
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    NPI Number           |    1871831164
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE KAY DUDA BBH-PCLC-LIC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/22/2013
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    Last Update Date     |    08/13/2019
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Provider Practice Location Address
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    Address Line         |    1750 RAY OF HOPE LN 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59106
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    Country              |    US
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    Telephone            |    406-656-2198
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    Fax                  |    406-651-2802
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Provider Business Mailing Address
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    Address Line         |    PO BOX 81241 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59108-1241
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    Country              |    US
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    Telephone            |    402-649-7958
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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       |    9863
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    License Number State |    NE
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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       |    38687
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    License Number State |    MT
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