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General NPI Number Information
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NPI Number | 1063814317
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Entity Type | Organization
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Legal Business Name | ASCENT EVALUATIONS ASSESSMENTS AND COUNSELING, LLC
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Dates
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Enumeration Date | 09/18/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 560 W CANFIELD AVE SUITE 400
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City | COEUR D ALENE
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State | ID
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Zip | 83815-7950
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Country | US
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Telephone | 208-667-7777
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Fax | 208-667-7772
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Provider Business Mailing Address
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Address Line | 560 W CANFIELD AVE SUITE 400
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City | COEUR D ALENE
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State | ID
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Zip | 83815-7950
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Country | US
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Telephone | 208-667-7777
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Fax | 208-667-7772
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Authorized Official
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Title or Position | PRINCIPAL/THERAPIST
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Name | JENNIFER D SCOTT
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Credential |
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Telephone | 208-667-7777
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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 |
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