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General NPI Number Information
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NPI Number | 1063922805
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Entity Type | Organization
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Legal Business Name | HALLOWITZ HOLISTIC HEALING, P.S.
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Dates
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Enumeration Date | 10/06/2017
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 810 E SHERMAN AVE
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City | COEUR D ALENE
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State | ID
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Zip | 83814-4149
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Country | US
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Telephone | 208-665-2293
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Fax | 208-664-8973
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Provider Business Mailing Address
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Address Line | PO BOX 3482
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City | POST FALLS
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State | ID
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Zip | 83877-3482
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Country | US
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Telephone | 208-209-6170
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Fax | 208-209-6169
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TOBY KYLE HALLOWITZ
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Credential | ND, MSOM, EAMP
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Telephone | 509-869-4206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | ACU-283
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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