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General NPI Number Information
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NPI Number | 1942402318
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Entity Type | Organization
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Legal Business Name | MEADOWLARK RECOVERY SERVICES
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1925 GRAND AVE STE. 124
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City | BILLINGS
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State | MT
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Zip | 59102-2764
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Country | US
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Telephone | 406-252-3851
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Fax | 206-203-3569
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Provider Business Mailing Address
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Address Line | 1925 GRAND AVE STE. 124
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City | BILLINGS
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State | MT
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Zip | 59102-2764
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Country | US
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Telephone | 406-252-3851
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Fax | 206-203-3569
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Authorized Official
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Title or Position | OWNER
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Name | MARY E. FITZPATRICK
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Credential | PHD
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Telephone | 406-252-3851
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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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