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General NPI Number Information
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NPI Number | 1043603855
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Entity Type | Individual
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Provider Name | BRIAN LARKIN CURTIS LPC
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Gender | Male
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Dates
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Enumeration Date | 03/18/2015
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 7803 NE FOURTH PLAIN BLVD STE A
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City | VANCOUVER
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State | WA
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Zip | 98662-7294
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Country | US
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Telephone | 360-566-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 650 ADDISON AVE W STE. 103
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City | TWIN FALLS
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State | ID
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Zip | 83301-5851
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Country | US
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Telephone | 208-737-0572
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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 | LPC-5803
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License Number State | ID
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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 | LH60707671
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License Number State | WA
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