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General NPI Number Information
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NPI Number | 1023234077
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Entity Type | Organization
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Legal Business Name | FAMILY AND CHILDREN'S THERAPY SERVICES, PA
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 906 S ONEIDA ST SUITE #4
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City | RUPERT
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State | ID
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Zip | 83350-8200
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Country | US
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Telephone | 208-436-2445
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Fax | 208-434-2445
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Provider Business Mailing Address
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Address Line | 164 N 200 W
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City | RUPERT
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State | ID
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Zip | 83350-9357
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Country | US
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Telephone | 208-436-2445
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Fax | 208-434-2445
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARLANE GARNER
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Credential |
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Telephone | 208-436-2445
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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 |
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License Number State | ID
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