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NPI 1003505538

NPI 1003505538 : RACHEL MARIE PIAZZA VOIGHT : BOISE, ID

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General NPI Number Information
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    NPI Number           |    1003505538
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL MARIE PIAZZA VOIGHT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/02/2023
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    Last Update Date     |    08/08/2023
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Provider Practice Location Address
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    Address Line         |    1075 E PARK BLVD 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83712-7722
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    Country              |    US
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    Telephone            |    208-381-5970
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    190 E BANNOCK ST 
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    City                 |    BOISE
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    State                |    ID
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    Zip                  |    83712-6241
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    LPC-9502
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    License Number State |    ID
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