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General NPI Number Information
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NPI Number | 1962748426
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Entity Type | Individual
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Provider Name | ALFRED D FALCON LAC LCPC
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Gender | Male
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Dates
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Enumeration Date | 01/02/2013
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Last Update Date | 02/21/2022
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Provider Practice Location Address
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Address Line | 1500 POLY DR STE 203
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City | BILLINGS
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State | MT
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Zip | 59102-1748
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Country | US
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Telephone | 406-860-6228
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Fax |
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Provider Business Mailing Address
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Address Line | 4635 RUTH AVE
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City | BILLINGS
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State | MT
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Zip | 59101-4830
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Country | US
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Telephone | 406-860-6228
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BBH-LAC-LIC-2613
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7613
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | BBH-LCPC-LIC-7613
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License Number State | MT
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