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General NPI Number Information
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NPI Number | 1972481711
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Entity Type | Organization
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Legal Business Name | DISTRICT IV HUMAN RESOURCE DEVELOPMENT COUNCIL
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2229 5TH AVE
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City | HAVRE
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State | MT
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Zip | 59501-5217
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Country | US
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Telephone | 406-265-6743
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Fax |
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Provider Business Mailing Address
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Address Line | 2229 5TH AVE
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City | HAVRE
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State | MT
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Zip | 59501-5217
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Country | US
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Telephone | 406-265-6743
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOSHUA REVIOUS
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Credential |
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Telephone | 406-265-6743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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