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General NPI Number Information
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NPI Number | 1952116204
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Entity Type | Individual
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Provider Name | KATELYN DIANNE FLEISCHMAN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 121 N 11TH AVE
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City | FORSYTH
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State | MT
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Zip | 59327-7761
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Country | US
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Telephone | 406-346-7654
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1530
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City | MILES CITY
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State | MT
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Zip | 59301-1530
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Country | US
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Telephone | 406-234-0234
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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 |
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License Number State |
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