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General NPI Number Information
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NPI Number | 1992958714
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Entity Type | Organization
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Legal Business Name | SOUND VIEW COUNSELING & ASSOC.PS, INC.
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 10/23/2008
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Provider Practice Location Address
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Address Line | 301 W SPRUCE ST
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City | MISSOULA
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State | MT
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Zip | 59802-4107
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Country | US
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Telephone | 406-541-4436
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Fax |
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Provider Business Mailing Address
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Address Line | 301 W SPRUCE ST
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City | MISSOULA
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State | MT
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Zip | 59802-4107
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Country | US
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Telephone | 406-541-4436
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DESSYE-DEE M. CLARK
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Credential | PHD, APRN
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Telephone | 406-541-4436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 29998
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9525
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 29998
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License Number State | MT
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Taxonomy #4
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 29998
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License Number State | MT
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Taxonomy #5
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Taxonomy Code | 364SP0810X
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Taxonomy Name | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 29998
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License Number State | MT
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Taxonomy #6
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Taxonomy Code | 364SP0811X
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Taxonomy Name | Chronically Ill Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 29998
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License Number State | MT
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Taxonomy #7
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Taxonomy Code | 364SP0812X
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Taxonomy Name | Community Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 29998
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License Number State | MT
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9525
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License Number State | MT
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