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NPI Code Detail

MEDICARE: HAWRAA SALIM

MEDICARE: HAWRAA SALIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1417891110
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAWRAA SALIM
Provider Business Mailing Address
First Line : 10096 W FAIRVIEW AVE STE 160
Second Line :
City : BOISE
State : ID
Zip : 83704-5004
Country : US
Telephone Number : 208-908-7882
Fax Number :
Provider Business Practice Location Address
First Line : 10096 W FAIRVIEW AVE STE 160
Second Line :
City : BOISE
State : ID
Zip : 83704-5004
Country : US
Telephone Number : 208-908-7882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “ HAWRAA SALIM ” Practice Location

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