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General NPI Number Information
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NPI Number | 1902685027
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Entity Type | Organization
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Legal Business Name | ON TRACK COUNSELING LLC
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 100 N 27TH ST STE 240
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City | BILLINGS
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State | MT
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Zip | 59101-2093
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Country | US
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Telephone | 406-831-5188
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Fax | 406-633-5850
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Provider Business Mailing Address
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Address Line | PO BOX 163
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City | BILLINGS
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State | MT
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Zip | 59103-0163
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Country | US
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Telephone | 406-831-5188
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Fax | 406-633-5850
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Authorized Official
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Title or Position | OWNER
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Name | VERNON R MUMMEY
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Credential | LAC
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Telephone | 406-633-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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