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General NPI Number Information
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NPI Number | 1891629093
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Entity Type | Individual
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Provider Name | HANNAH NICOLE VASQUEZ SWLC
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Gender | Female
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 1001 S HIGGINS AVE STE B3
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City | MISSOULA
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State | MT
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Zip | 59801-4145
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Country | US
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Telephone | 406-214-3810
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Fax | 406-720-7806
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Provider Business Mailing Address
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Address Line | 674 PORTER HILL RD
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City | STEVENSVILLE
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State | MT
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Zip | 59870-6104
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Country | US
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Telephone | 406-304-4998
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | BBH-SWLC-LIC-88912
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License Number State | MT
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