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General NPI Number Information
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NPI Number | 1023965985
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Entity Type | Individual
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Provider Name | PAIGE GRAY
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Gender | Female
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 245 N 3RD E
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City | MOUNTAIN HOME
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State | ID
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Zip | 83647-2734
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Country | US
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Telephone | 208-323-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 2254 N VIEWHILL AVE
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City | MERIDIAN
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State | ID
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Zip | 83646-3794
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 8181100
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License Number State | ID
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