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General NPI Number Information
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NPI Number | 1982917167
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Entity Type | Organization
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Legal Business Name | ALEPH, PC
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Dates
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Enumeration Date | 07/16/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1120 CEDAR ST
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City | MISSOULA
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State | MT
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Zip | 59802-3911
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Country | US
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Telephone | 406-721-2537
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Fax | 406-728-5358
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Provider Business Mailing Address
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Address Line | 2120 S RESERVE ST
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City | MISSOULA
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State | MT
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Zip | 59801-6451
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Country | US
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Telephone | 406-721-2537
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Fax | 406-728-5358
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Authorized Official
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Title or Position | OWNER
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Name | DONNA KAY JENNINGS
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Credential | APRN
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Telephone | 406-721-2537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 1286
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN8886
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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 | 240
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 328
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 76552
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License Number State | MT
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